Peter K. Studner Associates - Corporate Sponsored Outplacement Services
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Candidate Information Form
Please note, we guarantee that we will send the information you enter to the candidate,
but you are not guaranteed a response from them.
                      

Use SUBMIT button below or send us a hard copy.
Please print out this form.
Fill in completely and FAX to: 1-310-470-8106
or call in your request today at 1-310-470-6688
from 8:30 am to 5:30 pm Pacific Coast Time

Please send me information on the following candidate(s)
(Enter Candidate Number - for example 08.001.E.06 ):
#1

#2

#3

#4
*Name

*Company name

*Address 1

Address 2

*City

*State/Province

*Zip

Country (where applicable)

*Telephone (Please include country code where applicable)

FAX (Please include country code where applicable)

*e-mail


*=required

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