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    Support Form
   
Information Form

          Tel: 909-946-2032
          Fax: 909-946-6372
          8191 Monte Vista Ave.
          Upland, CA 91786

To help us better accommodate your needs please fill out this form and someone will get back to you ASAP.

Please provide the following contact information:

First Name
Last Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL

How many employees?


Select your payroll frequency:

Weekly
Biweekly
Semimonthly
Monthly
Other

Who is your current vendor?


401k Plan?

Yes No

Cafeteria plan?

Yes No

Direct deposit?

Yes No

Time off accrual?

Yes No

What are your specific needs?


We are looking into changing payroll providers: