Order An Interview

Order an Interview

ORDER TO Specialist Interviews

(Please print, complete, sign and fax this form

to +61 3 8676 4913. Email orders cannot be processed.

A confirmation will be sent by return).

Order Date: _____________________

Client Details

Name: _____________________________________________

Email: _____________________________________________

Phone: ____________________________________________

Confirmation Fax or Email address:

____________________________________

Candidate Details

Name: _____________________________________________

Email: _____________________________________________

Phone: _____________________________________________

Location (City): _______________________________________

Preferred Interview Time/Timezone:

_______________________________________

Interview Categories

(up to 10 can be chosen and must be from the list at the right and should indicate the product versions to be tested, otherwise current shipping product versions will be tested)

1 __________________________________________________

2 __________________________________________________

3 __________________________________________________

4 __________________________________________________

5 __________________________________________________

6 __________________________________________________

7 __________________________________________________

8 __________________________________________________

9 __________________________________________________

10 _________________________________________________

Report Delivery Method (indicate by checking any required methods)

___ Email to:

_________________________________________

___ Fax report to:

_________________________________________

___ Mail report to:

__________________________________________

Purchase Details (please indicate one)

___ Single interview ($395 AUD)

(or indicate quantity required _____________ )

___ Multi-pack of ten interviews ($3450 AUD)

(If a multi-pack is ordered, the current interview will be deducted from it and the balance indicated on the order confirmation. Discounted multi-pack interviews are not refundable and expire two years from the purchase date).

Note: Australian residents will also be charged 10% GST.

Payment Details

___ Existing multi-interview voucher number: ___________

___ Charge the following card (Visa/Mastercard only):

Card Number: __________________________________

Cardholder Name: _______________________________

Expiry Date: __________ / ______________

Card Verification Code: ________________

Are you an Australian resident Y / N

(Australian residents will be charged 10% GST)

Signature: _____________________________________________

(I certify I am ordering the above interview and am responsible for payment of the charge for the interviews ordered. Note the charge will debited from Monte Bear Pty Ltd.)