1. Membership Status

I am a paid member of PCC. I will not be charged for posting a message.

I am not a member of PCC. I understand that an invoice for $75 will be sent to the billing address in Section 4 (below).

I am not sure of my membership status. Please let me know.

2. Contact Information - Name of person who is completing this form

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
ZIP
Work Phone
FAX
E-mail
Web site address:

3. Message

Type or paste the text of your posting. If you are posting a help-wanted notice, be sure to include the title of the position and a brief job description. If you are posting a situations-wanted notice, provide a brief description of your background and the type of work you seek. Be sure to include your e-mail address and/or telephone number.

4. Applicant Contact Procedure

How should an applicant contact you? Please include name, title, company, phone, fax and/or email, as appropriate.

5. Special Instructions

Indicate any further instructions or comments here:

6. Contact Information-Billing (if you are not a member of PCC, an invoice will be sent to this address)

Send the invoice to the address in Part 2 (above)

Send the invoice to the billing address below

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
ZIP
Country
Work Phone
FAX
E-mail
Web site address:

Human Verification: To verify that you are a human being (not a computer), please type the word that the "P" in "PCC" stands for into the text box: