E-CUSTOMER ORDER FORM Submit your Order Please take a moment to fill in your company information. Simply answer the questions below and a J&A Staffing team member will contact you to complete your request. Online Application Business Name * What's your line of business? * Contact Name * Email * Phone * Your Mailing Address * City * State * Zip * What type of employees are you looking for? (Select All That Apply) * Banquet Server Certified Bartender Banquet Captain Banquet Housemen Bar Back Carver Sous Chef Culinary Grill Prep (Hot or Cold) Station Attendant Steward Host/Hostess/ Front Desk Laundry Attendant Utility Prep Other Fill out your position in the message below Number of associates needed * Enter jobsite address * reCAPTCHA Submit