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Quick On-Line Quotes

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Telephone*: Fax Number*:

Best Time to Contact: Time Zone: Select One Alaska Central Eastern Hawaii Mountain Pacific

Contact Method: Select One E-Mail Fax Telephone Contact's Title:

Company Payroll Information:

Number of Companies Active Employees:

How is payroll processed now? Select One Manually Payroll Service Software Other

Your Company's Pay Frequency: Select One Daily Weekly Biweekly Semimonthly Monthly Quarterly Semiannually Annually

Number of Employees with Direct Deposit:

Number of States in Which Your Company Pays Employees:

What Optional Services Do You Require?

Laser Signature Stuffed/Sealed Checks TaxFree™ Filing Service

Company Information:

What is your primary work responsibility? Select One Bookkeeper CEO CFO Consultant Human Resources Payroll Specialist Owner Other

How long has your company been established? Select One New Company 1 to 2 Years 2 to 5 Years 5 to 10 Years 10 to 25 Years 25 Plus Years

What products/services have you previously used to manage your payroll?

In-house Payroll By Hand Bank Accountant PEO Other

What method would you prefer for transmitting your payroll?

Internet/CBS Net-Pay Fax Modem/CBS Connection Telephone

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