Payroll Service Application

Benefit Mall Online Payroll

 

  • Please fill out as much information as possible on the form provided below.   This preliminary information will be sent directly to our partnered payroll provider.  A payroll account specialist will schedule an appointment with you to confirm pricing and begin the process of enrolling your company for online payroll. NOTE: If you are not contacted within 2 business days, please contact our sales department.
  • Company Information

  • Other Information