Payroll Service - Request for Quotation
(Please allow 1-2 business days for response)
Name: Telephone:
Company: Fax:
Address:
City: State: Zip:
E-mail:
Number of Employees:
Pay Cycle Weekly Biweekly Semimonthly Monthly Irregular
Number of days from close of payroll to pay day:
Do employees travel/work in different cities? (e.g.-Contractors, Traveling Sales,etc) YES NO
Special Deductions
401(k) Cafeteria Plan Health Other
Do you currently have a payroll service? YES NO
If Yes, who Cost per Check
What is provided?
Please allow 1-2 business days for response For Questions Call (440) 842-1231
If you wish to fax the form to us simply print using your browsers print key and fax to (440)884-7500
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