Personnel Resources for Pharmacists and Pharmacy Technicians PharmaTech Staffing, Inc. Home About Us Employment Opportunities Employee Info Client Info Contact Us

Staffing Needs Feel free to submit your request instantly online or print/fax your request to us. Feel free to call us at any time: 1-800-258-7747     Request for Staffing Needs If you are looking for a Pharmacist or Technician, you can submit your request instantly online or by printing and faxing this form to us at 609.261.5490. A staffing specialist will get back to you and assist you with your staffing needs. Contact Information Name: Company:   Title: Address: City:   State: Zip:       Phone:       Fax:       Email:                 Staffing Needs Occupation: Registered Pharmacist Technician     Type: Temporary Permanent     Start: January February March April May June July August September October November December Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day 2008 2009 Year End: January February March April May June July August September October November December Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day 2008 2009 Year     Computer System:     Practice Setting:     No. of Scripts:

Personnel Resources for Pharmacists and Pharmacy Technicians, serving New Jersey, Pennsylvania, New York, Delaware, and Maryland     PharmaTech Staffing, Inc • 55 High Street, Suite 209, Mt. Holly, NJ 08060 • 1-800-258-7747• 609-267-8409 • hr@pharmatechstaff.com