Payroll Signup Form

Payroll Sign-Up

Company

Company Name*

Address 1*

Address 2

City*

Zip Code*

Contact

Telephone*

Fax

Contact Person

Email*

Company Information

EIN or SSN?* EIN SSN

EIN/SSN Number*

Business Type:* Sole Proprietorship
Partnership
Single Member LLC
Multiple Member LLC
S Type LLC
S Corporation
C Corporation
Non Profit
I Don’t Know

Payroll Information

Company currently has payroll?* Yes No

If Yes, software or company you use:

Preferred Pay Period Weekly Bi-Weekly Monthly Other

Number of employees on payroll:*

Billing Information

Which billing method do you prefer?

FLAT FEE	PER JOB
Payroll Process	Payroll Process
(All additional jobs listed are included	W-2's
at no additional charge!)	1099's
	Forms Filed
	IRS and State letters addressed, etc.

Preferred Method Flat Fee Per Job