Webline

To assist you in quickly placing an order with Valley Staffing Services, we have provided Webline, the online order form. If you have already spoken with a representative of Valley Staffing Services and need to amend a previous order, please use this form or contact your local branch by phone or fax.

For your security, a representative of Valley Staffing Services will call and confirm this order within 24-48 hours of placement.


	ORDER FORM

Order Information


	Date Order Taken


	Time Order Taken


	Order Taken By

New Order

Addition to Current Order

Replacement for ...

Client Information


	Customer


	Ordered By


	Address


	Phone


	Fax

Assignment Information


	Start Date

Finish Date

Report to

(name/title/department)

Confirm to

Work For

# of Employees Needed

Hours From:

To:

Arrival Time

Work To Be Performed by Valley Employees


	Job Description

	Primary Skill

What percent of the time will the primary skill be used?

If typing is necessary, what will the Valley Employee be typing?


	Ctrl-Left-Click to make multiple selections

If a secretary is needed, what skills are needed?


	Ctrl-Left-Click to make multiple selections

Purchase & Release Numbers


	Purchase Order #


	Number Will Be Provided Later


	Release #


	Number Will Be Provided Later

Valley Staffing Services

3435 S. Demaree, Suite C
Visalia, CA 93277 USA

Equipment To Be Used


Personal Computer
	IBM or Compatible
	Name/Model/Manufacturer

	Software package name & version

Data Entry


		Ctrl-Left-Click to make multiple selections

Additional Information


	Skills Required

	(Database, Word Processing, Desktop Publishing, Spreadsheet, Other ...)