Please provide us with the following information, this will allow us to create a custom quote for your business.  

Name:        *

Company Name:       *

Address:

City:   State/Province: Zip:

Phone:       *Ext: Fax:

E-Mail:       *

The above email address must be in the standard format like:
name@domain.com. Please check it carefully so we can respond
to your inquiry.


* indicates required fields

Basic Overview of your Payroll

 
Total Number of Employees Paid:      
Employees are paid:
Weekly, BiWeekly, Semi-Monthly, Monthly
Number of Federal Tax ID Numbers (EINs):      
In how many states does your company pay employees?:      
Direct Deposit? We currently use Direct Deposit
We do not use, but are interested
We do not use and have no interest
How does your company currently process its payroll?
In House,
     On a Internet Product
     On a PC Personal Computer

Payroll Service
     ADP
     Ceridan
     Paychex
     Other
Please select the products and/or services you are interested in
Payroll
Tax Service
Time & Attendance
Employee Self Service
Workers Comp Insurance
401(k) Retirement Plans or other Pension Plans
Section 125 Administration (Cafeteria Plans)
Human Resource Services and Software
 
Please describe what payroll, tax filing, human resource situation(s)
are you trying to improve upon that has promoted this inquiry: