Welcome to the Automated Logic Add/Delete Form
Please complete the information below to add or delete an employee. Once you have completed the form, please click Submit Form at the bottom.
Date
Add / Delete
Choose One
Add New System Specialist to Uniform Program - 450 points
Add New System Specialist to Boot Program - 150 points
Add New System Specialist to All Programs Above
Add New Program Manager/Engineer to Uniform Program - 150 points
Delete Employee from Boot Program
Delete Employee from All Programs
Employee's Full Name
Company Email Address
Employee's Job Title
Branch Location
Choose One
New York/New Jersey - 11
Pittsburgh - 12
↳ Harrisburg - 12
New England - 13
Georgia - 31
North Carolina - 32
Central Florida - 33
Virginia - 34
Houston - 41
San Antonio - 42
Chicago - 81
Twin Cities - 82
Wisconsin - 83
Indiana - 84
Global Accounts - 91
Approved By
Name
Email Address
Submit Form
For problems or questions regarding the functionality of this order form, please contact us by phone at (800) 749-0947 or by email at
eastcoastcsr@wayne-ent.com
.