REGISTRATION AND PAYMENT OPTIONS

1. Complete the form below and pay now using Paypal (Paypal account not required).
2. Complete the form below and request an invoice.
3. Print and fax completed form, including billing information, to (888) 210-9798
4. Print and mail completed form with your billing information or your check made payable to:
   Diversity Job Seekers, LLC, 840 S. Rancho Dr. #4-396, Las Vegas, NV 89106

Registration fee must be received no later than April 25 to guarantee your participation.

QUESTIONS? Contact an account manager at inforequest@jobertising.com