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Thank you for your interest in our corporate services. Please complete the following information so we can better answer your questions and/or customize our services to meet the needs of your employees.
Corporation name:
*
Contact name:
*
Title:
*
Email:
*
Confirm e-mail:
*
Phone number:
*
(xxx-xxx-xxxx)
Number of employees:
*
Average age of employees:
*
Are most of your employees:
Male
Female
Please check all the services you are interested in offering
A searchable child care referral database to assist your employees
with placing their children in care
1-2 hour Lunch and Learn Seminars to discuss a variety of Work/Life issues
Design and management of on-site child care services
How quickly are you planning to implement the requested service/s:
Immediately
Within 1-6 months
6 months or longer
Are you currently offering any “family-friendly” benefits?
Yes
No
If yes, please indicate the type of benefit you are offering:
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