Interested in exploring what SourceOne Payroll can do for your company? In order for SourceOne to properly help you assess your payroll needs, please fill out the fields below: First Name: Last Name: Title: E-Mail: Phone: Fax: Company Information Company Name: Number of Employees: Address: City: State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code: Fax: Please choose the options that best decribe your situation. To simplify information collection, all of these fields are required. Best Time to be reached: ----- AM PM Preferred Method of Contact: ----- Email Phone Fax Personal visit How did you hear about SourceOne Payroll?: ----- Accountant or bookkeeper Referred by a friend Referred by an existing client Referred by a bank Referred by a professional nonaccounting Drove by processing center Newspaper article ad Radio Professional organization Direct mail communication Web Site Yellow pages phone book Why are you looking?: ----- Not currently using payroll company Service issue with existing company My company is a new business Price comparison Outgrowing current payroll method How is your current payroll processed?: ----- In-house Accountant or bookkeeper Paychex ADP Advantage Interpay Zurich Primepay CBS Other How many individuals do you pay regularly?: How often are they paid?: ----- Weekly Biweekly Semimonthly Monthly Quarterly How is your payroll currently delivered?: ----- Next Day Courier Mail I pick it up Other Not Applicable How do you submit your payroll info?: ----- I call it in Someone calls me Fax I use a program on my PC Email Via the Internet Not Applicable Are you making employment tax deposits for yourself?: ----- I make the tax deposits myself My payroll company does it Other Are you using direct deposit?: ----- Yes No I do not wish to No but I would like to Do your paychecks come signed?: ----- Yes No I prefer to sign them myself No but I would like to have them signed Do your paychecks come stuffed in individual envelopes?: ----- Yes No and that's fine No but I would be interested in this Please mark below the following services that interest you For more information on the services listed below, click on their names PAYROLL PROCESSING SERVICES Check Processing Tax Deposit & File Check Sign & Insertion Standardized Reports PAYMENT SERVICES Direct Deposit Employee Debit Cards Non-Impound Tax Service PAYROLL INPUT OPTIONS Phone In or Phone Out Fax Spreadsheet or Email Web PAYROLL OUTPUT OPTIONS Customized Payroll Processing End of Year Archive CD Job Costing/Labor Analysis DELIVERY Next Day Courier First Class Mail Next Day/2nd Day UPS Pickup from Provider OTHER SERVICES Retirement and Insurance Administration Employee and Employer Insurances Human Resources Certified Payroll General Ledger ONLINE EMPLOYER HR & Employee Self-Service Employee Timesheets Accounting Interfaces
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