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Complete the following information and receive your confidential NO-COST PEO analysis:

Business Info
Name of Business:
Address:
City:
State:
Zip:
Contact Info
Contact:
Title:
Phone Number:
Fax Number:
E-mail Address:
Business Description
Description of Business:
Number of years in business:
Number of FT employees:
Number of PT employees:
Are Subcontractors used?
Are you currently using a payroll processing company?
Servicing Company:
Are you currently using a professional employee organization?
Servicing Company:
Pay cycle:
Most recent Florida Unemployment Compensation Tax Rate:
Current Worker's Comp. Current Modifier:
What portions of employee benefits are paid by employer?
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