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You have indicated that you are an employer interested in more information about outsourcing the W-2 process in your organization. Please complete the form below and one of our customer representatives will be in contact with you soon. All fields marked with an * are required.

*	Name
*	Title
*	Company
	Industry
*	Address
*	City
*	State
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*	Zip
*	Country
*	E-mail
*	Phone	( ) -
	Fax	( ) -
*	Number of Employees:
*	# of W-2s issued prior year:
	We run payroll in-house and use the following payroll software:
	We outsource our payroll and use the following service provider:
	Do you use outsource other Payroll/HR processes? Yes No
	If so, who do you use?
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