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Service Quote

Please fill out the form below and we’ll be happy to give you an estimate.

Contact Info

Business Name*
Address*
Business Phone*

Contact Person*
Title*

Cell Phone*
Email*
Referred by*

Business Details

How long in business?*
Who does the payroll now?*

Pay frequency
# of employees paid*
Gross payroll each pay period*
Cut off day for calculating hours*
Pay checks given out on*
Workers comp. classification if known*
Rate per hundred*
Primary type of work performed by employees*
Employee benefits
Retirement plan
Pretax cafeteria plan?
Any Employee garnishments?

Any Additional Information

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