Information Form ~ Please use this form to provide the required information about an opportunity which you woulld care to present to Douglas Lee ~
* Location and Duration:  
Full opportunity description,  
Company name for  
this opportunity:  
* Rate:  
 , per Hour Day Week Month Annual Complete / All inclusive
  The rate is negotiable based on many factors, including the contract length, amount of required travel, and other items.
Includes Per Diem:  
  Yes No
Method of Payment:  
  1099, W2, C2C, Other
Required Travel:  
  None, 0-25%, 25-50%, 50-75%, 100% Unknown
* Your Name:  
* Your Company Name:  
* Your E-Mail Address:  
* Your Postal Address:  
* Your City, State, Zip:  
* Your phone numbers, Primary:  
   Secondary:    Fax:  
Other helpful information:  
Help Information

Please fill in as much information as you have
so that I may be able to evaluate this opportunity
and get back to you as quickly as possible.
Thanks, Doug

OK Doug. Thanks for the help (Click here to close).

NOTE: Items marked with a red asterisk Are Required.