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Company Name:
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Company Location (City & State):
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Contact Name:
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Email Address:
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Approximate Number of Employees:
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How did you hear about us?
How do your employees primarily work?
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In-Office
Hybrid
Remote
Who is your current payroll provider?
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Is your current payroll provider a PEO?
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Are you interested in our HR On-Demand Services?
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What HR concerns or challenges are you facing?
What does a successful partnership with us look like to you?
Please list any questions, comments, or things you'd like us to know:
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