Order Form

CareerBank.com

Order Form Print Invoice

Orders can be placed online or via this form. Please contact us if you have any questions.

CareerBank.com 42395 Ryan Road, Ste. 112809 Brambleton, VA 20148	Order: ORD-1299296-820 Date: 8/20/2008 2:30:15 PM Email: sales@careerbank.com Phone: 877-468-9536 Fax: 240-387-6198 Payment Type: ___ Check ___ Credit Card
Contact Information: Name: _______________________________ Company: ____________________________ Address: _____________________________ ____________________________________ Phone: ______________________________ Fax Number: ________________________ Email: ______________________________	Credit Card Information: (required if paying via credit card) Name On Card: ______________________ Card Type: ______________________ Card Number: _______________________ Expiration Date: ___ / ___ Verification code: _______ (If your cc billing address is different than the address listed, please enter it below.) Address: _____________________________ ____________________________________

Fax us this page to complete your order

Job Posting Options:
___ Single Job Posting	$250
___ 5 Job Posting Package	$1075
___ 10 Job Posting Package	$1800
___ 20 Job Posting Package	$3140
___ National Job Posting	$625
Resume Searching Options:
___ Monthly Membership	$500
___ Annual Membership	$4650

AMOUNT DUE:

Make checks payable to:
CareerBank, Inc
Tax ID: 43-2087148

Comments:

Instructions: Please review, sign, and fax to 240-387-6198.

Authorized Signature The client company identified above ("Client"), by their authorized representative, has executed this Agreement as of the date(s) set forth, the latter of which shall be the effective date of this Agreement ("Effective Date"). This Agreement and the corresponding Terms and Conditions, available a http://www.beyond.com/psaterms.htm herein by reference, shall be binding when signed below and delivered to the Beyond.com (which delivery may be accomplished by facsimile transmission).

Name: ____________________________________________
Signature: _________________________________________ EffectiveDate: ____________

Your service will not be activated until payment is received, or invoice has been approved for initiation.