Your Company: 

Your Title: 

Name of Others Involved in the Payroll Process:

Company Address 1:

Company Address 2:

City:  State:  Zip: 

Email: *

Phone: * Fax: 

Preferred Method of Contact:  Email Phone Regular Mail Fax

How did you hear about Radcliffe Payroll Services?:  Accountant/Bookkeeper Sales Rep Advertisement Internet

Who is currently processing your payroll?:  In-House Accountant Other

How many people do you pay regularly?: 

How often do you pay them?:  Weekly Bi-Weekly Semi-Monthly Monthly Quarterly

How is your payroll delivered to you?:  Next Day Courier First Class Mail Electronic File Delivery Other

How do you submit your payroll info?:  I Call It In Email Online Fax Other

Are you making employment tax deposits yourself or does a company do that for you?:
I Make Tax Deposits Myself Company Does It

Are you using Direct Deposit:  Yes  |   No

Do your paychecks come signed?:  Yes  |   No

Do your paychecks come stuffed in individual envelopes?:  Yes  |   No

Please mark below the following services that interest you

PAYROLL PROCESSING SERVICES  Check Processing  Tax Deposit & File  Check Sign & Insertion	PAYMENT SERVICES  Direct Deposit  CompletePay  Employee Debit Cards
PAYROLL INPUT OPTIONS  Phone In or Phone Out  Fax, Spreadsheet or Email  Online	DELIVERY  Next Day UPS  Pickup at Radcliffe Office  Electronic File Delivery
OTHER SERVICES  Worker's Compensation  Certified Payroll  General Ledger