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Ordering
Order Form
You may print this form and fax it to 734.665.7850 or submit it electronically. Either way, your order will receive immediate attention and confirmation by email (for online orders) or telephone (if order was faxed).
 
Departmental Information for the ordering department

Departmental information for the ordering department

Department name:

Department contact name:

Contact phone:
Contact email:
Complete billing address:
 
M-Stores short code(s):
Name of authorized signer:
 
Job descriptions of positions to be filled
Job 1
Qty.
Start Date: Start Time:
 
Job 2
Qty.
Start Date: Start Time:
 
Job 3
Qty.
Start Date: Start Time:
 

If you selected “other” for any job categories, or have a medical/healthcare request please describe:

Frequently Asked Questions
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