Computer Help "Technology Made Simple"

Company Directory Form
*Energize your job search!*		*Electronic Business Card*

*Email your resume*		*Build a company directory*

Please complete the form below. We will contact you with to discuss the details and provide you information on how to provide the content information for the directory.

Name*

Title*

Email*

Phone*

Address*

City*

State*

Zip*

Country

This service only available for United States.

Payment*

if gift certificate enter code:

Company*

Directory Details

Please indicate the number of employees to include in your directory.
Please indicate the number of additional CD-ROMs you want to purchase.
If you have an existing directory and you would like us to convert it to our electronic profile format, please check the convert my paper directory box.

Number of Employees to include in directory.

Additional CD-ROMS (additional fees apply).

Convert my paper directory to an electronic format. (additional fees apply). Please mail the paper directory to us at Computer Help, 34 Old Ferry Road, Shalimar, FL 32579. We will not return your paper directory.

Other Comments

Enter any other comments you may have here.

We look forward to creating this web profile for you. This pro file can be freely distributed, including publishing on web sites and provided to anyone you wish. Computer Help reserves the right to publish profiles on our site and as examples of our work. Once you submit this form, we will review it and contact you with a total price.

* indicates required field

Company Directory Form