Quote Request Form

Please have all information ready before you begin this form. You will not be able to save or submit until all required fields are completed. * Required field are marked with an asterisk.
Company Name*
Contact Name
Telephone
E-mail Address We will email your quote to this address.
Referred By
Quote Type
If you are offering the Dashboard as a service to your customers, please select Enterprise from the field above. If you are using the dashboard for your own company or reselling it (but not providing it as a “service offering”) please select Single or Multi-company. If you are not sure, select the last option and we will contact you to help you determine the correct license for your needs.
Enterprise Bundle (if applicable)  Are you a Current Enterprise Customer

Dashboard Companies

Single and multi-company customers should enter company information below for an accurate quote. Enterprise customers may enter this data if known as it will help to determine company setup fees.
Dashboard Company 1 Number of Employees
Dashboard Company 2Number of Employees
Dashboard Company 3Number of Employees
Dashboard Company 4Number of Employees
Dashboard Company 5Number of Employees
Dashboard Company 6 Number of Employees
Dashboard Company 7Number of Employees
Dashboard Company 8Number of Employees
Dashboard Company 9Number of Employees
Dashboard Company 10Number of Employees

If you have more than 10 companies, please list them in the space below. Company name, # of Employees. Ex: ABC Company, 150, XYZ Company, 165, etc.

Additional Dashboard Companies
Payroll System/Provider Example: Outsourced, Dynamics GP, Quickbooks, etc.
+=

This simple addition problem is a test to make sure that an actual person is completing this form.