Place your order
with us online by filling out the form below. You can
also place your order by email at laniadmin@lani.com,
by phone @ 888-588-LANI or by fax @ 949-752-5329.
Client
Information
Company
Name
Address
City
State
Zip
Name
(Person Placing Order)
Title
Email
Address
Phone
Number (
)
-
ext.
Fax
Number (
)
-
Submit
Resumes To
Click here
to submit resumes to the same contact information above.
Name
(Person Placing Order)
Title
Email
Address
Phone
Number (
)
-
ext.
Fax
Number (
)
-
How
Did You Hear About LANI?
Job
Description
Job
Type
Job
Title
Reports
To:
#
of Positions
Location
of Position
Job
Responsibilities (Paste a Job Description or Type
Text Here)
Anticipated
Start Date
Approximate
End Date
Salary
Range of Position
Client
Work Week
Overtime
Allowed
Parking
Paid By Client
Additional
Instructions:
Billing
Information
Click
here
to submit invoices to the same contact information above.
Name
(Person Placing the Order)
Title
Email
Address
Phone
Number (
)
-
ext.
Fax
Number (
)
-
Address:
City
State
Zip
P.O.
or Job # (if any):
OGL
Before submitting this form, please type the color of the second character:
