Payroll Services for Mountain America Credit Union Customers

To refer a customer to the MACU/Paychex Payroll program, please complete the form below. Thank you.

All fields are required unless specified otherwise.

Bank and Referring Employee Information

Employee First Name

Employee Last Name

Employee Phone

Employee ID

Employee Email

Branch Name

Branch Number

Branch ZIP

Sales Rep Information

Rep First Name

Rep Last Name

Prospect Information

First Name

Last Name

Title

Phone

Company Name

Street Address

ZIP Code

Number of Employees

Additional Information

Comments