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Check - Are you currently an ADP Client?*
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Check - Were you recommended to ADP by your Bank or Credit Union?*
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Please provide us some information about the referring Bank:

Banker Name:
Bank Name: *
Bank Location: *
Bank Transit Number:

How many people does your company employ?*

Do you have your company code? (this field is not mandatory)


May I have your First Name please?

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And your Last Name is?

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May I have your job function or title?

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And your email address is?

I'd like to have one of our local ADP Associates return your call, may I have your Company name,

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street address,

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city,

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and postal code/zip code?

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Thank you for your patience, I have a few more questions to help me direct your call to the appropriate ADP Associate. Is there a number we can reach you at, starting with the area code?

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NOTE: if caller refuses to provide number, explain:
Your number allows ADP to respond quickly to your inquiry, to better serve you.
(If caller persists on not providing #, please enter 000s in telephone field and ensure the email address is provided above.)

What product or service are you calling about?

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Is there anything else you'd like us to know before an ADP Associate contacts you?

Thank you for your time. I will have an ADP Associate contact you shortly.