To apply to be an independent contractor for USA Publishing, LLC either fill out this page and click the submit button, or print it out, fill it in and fax it to us at 1-800-874-6295. Upon approval of your application, you will be contacted and interviewed.

Independent Contractor Application

Name: (Required)

Company: (If applicable)

E-mail address: (Required)

Mailing address:

Town/City:

State:

Zip Code:

Phone:

Drivers License Number:

Age:

How would you like to be contacted? (Select all that apply)     By phone?     By e-mail?

Have you ever been arrested or charged with any criminal convictions in the past five (5) years?     Yes     No

If yes, please explain:

Previous Work/Employment History

Employer Name:

Employer Phone:

Contact Name:

Dates Worked:

Employer Address:

City:

State:

Zip Code:

Work Description:

Reason for Leaving:

---

USA Publishing, LLC
405 South 3rd Ave., Suite 100-I
P.O. Box 428
Sioux Falls, South Dakota 57101
Phone: 605-338-5353
Toll-Free Phone and Fax: 1-800-874-6295
usa_publishing@yahoo.com

S i t e G u i d e
Hotel Directories:	Laminate | Hard Back | 3-Ring Binder | Full Color
Non-Directory Hotel Items:	Room Locators | Phone/TV Logs | Key Cards
Golf-Related:	Score Cards | Golf Course Guide and Coupon Book
Other Advertising Items:	Advertising Specialties | Advertising Benches Restroom Advertising | Coupon Books | Tidbits
General Information:	Home | Contact Us | Become an Independent Contractor

Copyright © USA Publishing, LLC; All rights reserved.