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Contact Doug
Thank you for filling in all the requested items.
Doug's Information Request Form
Location and Duration
Full opportunity description
Rate
, per
Hour
Day
Week
Month
Annual
All inclusive
* NOTE:
The rate is negotiable based on many factors, including contract length, required travel, W@ / 1099, benefits...
Includes Per Diem
Yes
No [Check One]
Required Travel
None,
0-25%,
25-50%,
50-75%, or
Road Warrior [Check One]
Your Name
I will use this name in our correspondence.
Your Company Name
Your E-Mail Address
I will contact you via this email address.
Your Postal Address
Your City, State, Zip
Your primary phone number
Your secondary phone number
Other helpful information
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Contact Douglas E. Lee
~ All data has been redacted ~