• Please provide the following contact information:

  First name
  Last name
  Middle initial
  Title
  Street address
  Address (cont.)
  City
  Country
  Postal code
  Contact Phone
  Mobile Phone
  FAX
  E-mail
  URL

• Your D.O.B:

  Date of birth
  Sex	Male Female

• How will you be sending us the basic information we need to start compiling your CV?

  I'm going to be emailing you my old CV I'm going to post a hard copy of my current CV I'm going to post you the floppy disk I'm going to post you the Basic Info Sheet
  

• Which Level of CV Service will you require?

  The Platinum CV Package at �78.00 inc.
  The Gold CV Package at �45.00 inc.
  The Silver Package at �28.00 inc.
  
  

• How will you be getting your payment to us? (Please allow 5 days for cheques to clear)

  Sending a Postal Order Sending a Personal Cheque Sending a Building Society Cheque
  

• How did you hear  about us, and any additional comments?

  
  

• Please enter the date you filled out this form:

  -- dd/mm/yy
  

• Finally........ before you submit the form, please send your name and telephone number to the following email address - so that we have a back up should the internet route fail (feel free to attach your CV with this email) .......... Oh, and Dont forget to press 'Submit Form' after you have finished with the email' 

                                 [email protected]

THANK YOU !