AvMed Referral to Ceridian

AvMed Referral to Ceridian


Thank you for referring a potential customer to Ceridian. To expedite this process, please complete the required information and a Ceridian representative will contact them. Thank you for your interest in Ceridian.

* Required information

INFORMATION ABOUT COMPANY INTERESTED IN CERIDIAN SERVICES
Company Name: *
Address:
City: *
State: *
Zip: *
Contact First Name: *
Contact Last Name: *
Contact Title:
Contact Telephone Number: *
Contact Email Address:
Number of Employees: *

Services Referred:	Payroll

INFORMATION ABOUT WHO IS REFERRING THIS COMPANY TO CERIDIAN
Lead Source Type:	Partner-Small Business
Agency Vendor #:
Agency Name:
Referrer Name: *
AvMed Sales and Service Rep: *
Partner Code:	AvMed
Referrer Phone: *
Referrer Email Address: *

Comments:

IMPORTANT: Before submitting, make sure your email address is typed correctly. This will ensure you receive a text copy in your email inbox. For best results, print a hard copy before submitting. Once it has been submitted, you will NOT be able to retrieve it. If you have any questions, please contact Ceridian's Sales Leads Department at 1-800-729-7655 (option 2).