Payroll Express Company

"The Payroll Solution for
Small Businesses"

Quick Quote

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: Zip:
Phone:	* Ext:
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		Yes No
Tax Service		Yes No
Time & Attendance		Yes No
Employee Self Service		Yes No
Workers Comp Insurance		Yes No
401(k) Retirement Plans or other Pension Plans		Yes No
Section 125 Administration (Cafeteria Plans)		Yes No
Human Resource Services and Software		Yes No

Please describe what payroll, tax filing, human resource situation(s) are you trying to improve upon that has promoted this inquiry:

How did you hear about us?

"The Payroll Solution for Small Businesses"

Quick Quote

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

Basic Overview of your Payroll

"The Payroll Solution for
Small Businesses"