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Company name
Company location
Business type
Contact name
Email
Phone number
Number of employees
What solutions are you interested in?
Payroll Solutions
HR Solutions
Total Solutions
Other
How long has the company been in business?
If you are looking for a quote for just payroll solutions are there any additional items that you would like us to do other then our basic payroll solution?  
What is your worker's comp. mod factor?

What is your yearly payroll per workers’ comp. class code?

What is your state unemployment tax rate?
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Employer Solutions Group
7301 Ohms Lane
Suite 405
Edina, MN 55439
(952) 835-1288

Copyright 2009 Employer Solutions Group. All Rights Reserved.