Resume Posting Form

Please Print !

[  ] Please Post My Resume.

[  ] Photo Inclosed

[  ] Photo Included On Disk

[  ] I Have A Resume On File With You That I Would Like Revised.

[  ] I Have A Resume On File With You That I Would Like Listed In Additional Categories.

[  ] I Am Submitting My Resume And I Would Like You To Edit It.

[  ] I Am Submitting My Data And I Would Like You To Create A Resume For Me.

Contact Information:

First Name:                                                                               

Middle Initial:              

Last Name:                                                                               

E-Mail Address:                                                                                           

Address:                                                                                  

Apartment Or Suite:                           

City:                                                                                          

State:               

Zip or Postal Code:                   

Country:                                                                                   

Day Phone With Area Code:                                                    

Evening Phone With Area Code:                                              
                                                                                                                                                         

Information For Your Listing:

What job classification would like to be listed under?
( 1 is included with your post )
                                          

Additional Classifications:
                                                                                            
                                                                                            

What country would you like to be listed in?                                       
( 1 is included with your post )

Additional Countries:
                                                                                            
                                                                                            

If US what state?                                 
( 1 is included with your post )

Additional States:
                                                                                            
                                                                                            

Is there any additional information you would like to post?

How Do You Want A Someone To Contact You ?

E-Mail Address To Be Posted In Listing:                                                                       

Phone Number To Be Posted In Listing:                                                                       

Address Number To Be Posted In Listing ( OPTIONAL ):

Billing Totals:

Your Resume Will Be Posted Approximately One Week From The Day We Receive Your Check.  We Will E-Mail You A Conformation And Your Registration.

Please Read, Sign And Date:

I hereby state that I am of legal age, that my listing here does not involve illegal activity
and that the products and/or services are my legal possessions  and/or have not been acquired through any illegal activity. I also agree that webaddressinc.com and/or any of
it's associates and/or affiliates shall not be held responsible and/or liable for the quality or
condition of these goods or services. I also state that the photo submitted has no copyrights
are involved. I also agree and understand that the posting of my resume is for a period of one year and will be removed one year from the date of posting or upon my request in writing.

Signature:                                                                                         Date: