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Kent
Seattle
Burlington
Job Order Sheet
Kent
Seattle
Burlington
Locations
Burlington Job Order Sheet
*Note:
All fields marked with an asterisk (*) are required.
*
Order Requested By
Order Requested By is required.
*
Number of Workers Needed
Number of Workers Needed is required.
*
Job Date
Order Information
*
Company name
Company name is required.
*
Job Site Address
Job Site Address is required.
*
Report To
Report To is required.
*
Time
Time is required.
*
Job Site Phone
Job Site Phone is required.
Please format as phone (555) 555-5555
Mobile
Please format as phone (555) 555-5555
*
Job Description
Job Description is required.
PO Number
*
Special Qualifications
Special Qualifications is required.
Employee Requested
Directions to Site
Cross Streets
Safety Equipment Needed
Hard Hat
Back Brace
Flagging Paddle
Boots
Safety Glasses
Hearing Protection
Gloves
Safety Vest
Other
If other
How Did You Hear About FlexxStaff?
Mailer
Newspaper
Yellow Pages
Word of Mouth
Sales Call
Advertising
New Customer Information
only required for first time orders
Customer Name
Code
Billing Address
Phone
Please format as phone (555) 555-5555
Fax
Please format as phone (555) 555-5555
*
Federal Tax ID
Federal Tax ID is required.
Required