Request A Quote | Coastal Human Resource Group, Inc.

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Contact Name

Business Name

Street Address

City

State

Zip Code

Email Address

Services of Interest (check all that apply)

Health Insurance

Dental Insurance

Vision Insurance

Payroll Administration

Life Insurance

Payroll Tax Compliance

Supplemental Insurance

Employee Training

401K Retirement Savings Plan

Human Resource Management

General Liability Insurance

Workers' Compensation Insurance

Auto Insurance

Responsible Vendor Training

How did you hear about us?

Phone

Description of Business Operations & Number of Employees

Annual Payroll

Do you currently use PEO? If yes, please list provider below.

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