Primco Team Member Directory Update Form

Email(Required)

Current Job Title(Required)

Which Office is Your Place of Work? (Where would your desk be under normal circumstances?)(Required)

Alternate Location Listing

Instead of your address we ask you provide your Territory or Region Eg. (Eastern Province A, or Western Canada)

If Someone Needs to Post Something to Me - Send it to:

Direct Phone Line(Required)

Cell (if you havent got one, 000 000 0000 ;0)(Required)

Custom Fax Number

Any Other Alternate Ways to Contact Me

Employee Update