JobGenie Purchase / Contact Form

This is an email form that will forward purchasing / contact information to makers of JobGenie Software.  Please complete the form and submit to Mr. Stephan Fournier at JobGenie. 

Please identify yourself by completing the following form (* Required fields):

Your name*:
Email address*:
Your phone number:  
Your FAX number:  
Company name
Street Address:
City, State, ZIP:
Request for:
Purchase Order Number:

For those wanting to submit immediate payment via MasterCard, Visa or American Express, 
print this form, write in the card name, card number & expiration date in the
"Other Comments" block below and FAX to (860) 523-1352. The cost for this software
is only $99.00!

Company P.O.'s accepted.

Other Comments:
Best Time / Method of contact:
      Submission:  Click on the Submit button to submit.  Reset clears the entire form.


[Use your Back Button or click here to return to the JobGenie web page]

If there is a problem using this form, please contact Dexter Hansen

Last revised:  9/25/02

Copyright 2002
in affiliation with JobGenie