Company Information - TempStaff

Client Info

Company Information

Company Name

Website

Phone

Physical Address

Street Address Address Line 2 City State ZIP Code

Mailing Address

Street Address Address Line 2 City State ZIP Code

Year Established

Business is a:

Number of Employees

Products/Services Provides

Special Projects or Peak Seasons

Hours of Operations or Shift Schedule

Dress Code

How did you hear about TempStaff?

Authorized Users

User 1

First Last

Title

Direct Phone

Email

Birthday

User 2

First Last

Title

Direct Phone

Email

Birthday

Billing Information

Name

First Last

Title

Direct Phone

Email

Birthday

FEIN

Worker's Comp Code

Do you require a Purchase Order Number?

Bank Reference

Name

Contact Name

First Last

Phone

City, State

Date Account Opened

Account Number(s)

Vendor/Trade Reference

Name

Contact Name

First Last

Phone

City, State

Date Account Opened

Account Number(s)

TempStaff Recruiter

TempStaff is a Mississippi Corporation. If you require a W-9 for your files, notify your TempStaff Recruiter.