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Secure Outplacement Order Form

(All Prices in U.S. Dollars)

Online Orders: Use our secure online order system to submit your order by credit card* or by Purchase Order**.  We accept Visa, MasterCard, American Express or Discover.  Your information is protected by 128-bit encryption. 
Phone Orders:To place your order by phone, call us toll free at 1-888-430-2637.
Fax Orders: To submit your order by fax, complete the order form and fax it to 1-763-447-3379. 
Questions?
E-mail us or Call us toll free at 1-888-430-2637.

* Your credit card will be billed at the time each displaced employee decides to utilize our outplacement services.  If a displaced employee decides not to work with us, you will not be billed for that employee.    

**
Your organization will be invoiced at the time each displaced employee decides to utilize our outplacement services.  This invoice will be due upon receipt.  If a displaced employee decides not to work with us, you will not be billed for that employee.    


Contact Information

Company Name:
Authorized Representative:
Address:
City:
State/Province:
Country:
Zip/Postal Code:
Phone:
Fax:
E-mail:

Please provide the names of employees you will be purchasing outplacement services for as well as contact information for each employee (phone number, mailing address, and e-mail address):

Have you notified the employees that they have been downsized?
Yes        No 

When do you want us to contact them?  

Did you provide them with information about our outplacement services including our contact information?

Do you have any special instructions for us?

 


Desired Services:

(All prices in U.S. dollars)

Platinum Plus 12 Outplacement Package, $2,950 per displaced employee.
Platinum Plus 6 Outplacement Package, $1,695 per displaced employee.
Platinum Plus 3 Outplacement Package, $1,295 per displaced employee.

Platinum Outplacement Package, $995 per displaced employee.
Gold Outplacement Package, $850 per displaced employee.
Other Custom Outplacement Package.  Please specify the desired services to allow us to provide you with a proposal:


Did you consider other outplacement firms in addition to Quest?
Yes        No  If you answered yes, which other companies did you consider?  


How did you learn about Quest?


 

Why did you select Quest?

 


Order Authorization

I authorize Quest to debit our corporate credit card for the items ordered in this form:  
Name:
Date:
Credit Card Information
Cardholder Name:
Card Number:
Expiration Date (Month/Year):
Total amount charged to card:
MasterCard Visa  American Express  Discover

Submit Your Order

 

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If you need assistance, please contact us at info@questoutplacement.com or by phone at 888-430-2637.

Quest Career Services, LLC
11436 Marketplace Dr. N, Ste 217 
Champlin, MN 55316 
Toll-Free: 1-888-430-2637
FAX: +1-763-447-3379
info@questoutplacement.com

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