IPR logoSeasonal Labor Specialists
P.O. Box 1507 West Chester, PA 19380 phone 1.877.h2b.visa fax 1.877.h2b.wipr
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Pricing Form

In order for International Personnel Resources, Inc. to determine if your business is an account we can process at this time, we request that you provide the following information. Some of the information is required for the Department of Labor processing and the Bureau of Citizenship and Immigration Services (BCIS) formerly the Immigration and Naturalization Services (INS).

Name  
Company Name  
Street Address  
City     State     Zip  
E-mail Address  
Office Phone       Office Fax  
Cell Phone      Wages Offered:  
Number of workers anticipated  
Approximately when will you need the workers:

Arrive:

month   day   year  

Depart:

month   day   year  
   

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