Pro Tec Personnel - Worker Request Form

WORKER REQUEST FORM

If you already have an account with us you can order workers immediately through this form or by
calling one of our offices. If we have never serviced you before and do not have a completed
customer application from you, you can either fill out this form and mention in the "comments"
section that you do not have an account with us or call us for more information.

If you fill out this request form you should call our office to confirm that we have received it if you
have not received a phone call from us within one business day.

WORKER REQUEST FORM

Your Name:

Your Company:

Your phone number:

Type of workers
needed:

Date Needed:

Yes

Are you a current
customer?:

Don't know

Comments/Job
Details:

MAILING ADDRESS
P. O. Box 190728
Mobile, AL 36619

OFFICE ADDRESS
5563-D Jackson Rd.
Mobile, AL 36619

OFFICE PHONE
251-660-1343
or toll free at
1-800-866-9972

OFFICE FAX
251-660-1393

Experienced Construction Staffing since 1977

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