Veripay Suite (HR/PAYROLL SOLUTION) Application

Account Information : Step 1 - 13

Company Address: Step 2 - 13

Company Email: Step 3 - 13

Company Phone Number: Step 4 - 13

Company Employes & Branch: Step 5 - 13

Contact Person full Name: Step 6 - 13

Contact Phone Number: Step 7 - 13

Person Email Address: Step 8 - 13

Contact person Mailing Address: Step 9 - 13

Fee set-Up (who bears the transaction fee): Step 10 - 13

Software Module: Step 11 - 13

Referenced by: Step 12 - 13

Confirm Details : Step 13 - 13

Company Name

Company Name is required. Edit

Street Address

Street Address is required. Edit

Street Address Line2
City

City is required. Edit

State/Province

State/Province is required. Edit

Country

Country is required. Edit

Company Email

Company Email is required. Edit

Company Phone Number

Company Phone Number is required. Edit

Number of employees

Number of employees is required. Edit

Number of Branches

Number of Branches is required. Edit

Contact Person full Name

Contact Person full Name is required. Edit

Contact Phone Number

Contact Phone Numberis required. Edit

Contact Person Email Address

Contact Person Email Address is required. Edit

Contact Street Address

Contact Street Address is required. Edit

Contact Street Address Line2
Contact City

Contact City is required. Edit

Contact State/Province

Contact State/Province is required. Edit

Contact Country

Contact Country is required. Edit

Contact Place

Contact Place is required. Edit

Software Module

Software Module is required. Edit

Fee set-Up (who bears the transaction fee)

Fee set-Up is required. Edit

Referenced by

Referenced by is required. Edit

Additional information