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Client Application Form:

Or complete and submit the form below and we will contact you.
Contact Person:
Title / Position:
Company Name:
Business Address:
Contact Tel No:
Contact Fax No:
E-Mail Address:
Nature of Business:
WOULD YOU LIKE A PROPOSAL TO BE SENT TO YOUR COMPANY?

Yes, please send proposal for HR Consulting Services on a monthly retainer basis.

Yes, please send a proposal for HR Consulting Services using an hourly rate.
Please specify what HR Consulting services your company would require:
Please give a brief description of specific problem areas within your Organization whereby Placement Dynamics could be of assistance:
Name of person completing the application:

(Please specify the Name of the person that the proposal should be sent to)
 

Date:

  

 

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