Enrollment

By signing up for the HR service you agree that this initial term is for 1 year of service that will auto renew on the anniversary of the sign up date. Cancellations must be provided in writing to info@optimabenefitsgroup.com prior to the renewal date. Once you are signed up or renewed you are signed up for that year with no refunds allowed.

At this time, only English-speaking HR Experts are available.

Company Legal Name:*

DBA Name:*

Business Address:*

Business Phone Number:*

Business Contact Name:*

Business Contact Email:*

Number of Employees:*

Number of Locations:*

Name of Employee that will have Access to the HR Portal:*

Email of Person with Access to HR Portal:*

2nd Employee Name with Access to HR Portal:

2nd Employee Email with Access to HR Portal:

Credit Card Info

Name on Credit Card*

Credit Card Number

Expiration Date*

MM/YYYY

Credit Card Billing Address*

Optima Benefits and Payroll is not responsible for any legal advice or consequences as a result of the information provided within the HR Portal. These are best practices, informative items meant to assist and provide help in managing your workforce and business, but in no way to be construed as legal advice. There will be a $300 annual charge.

I agree with the terms & conditions above

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