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To refer a customer to the PNC/Paychex Payroll Referral Program, please complete the form below. Thank you.

All fields are required unless specified otherwise.

Bank and Referring Employee Information
(as listed in the PNC Directory)
(as listed in the PNC Directory)
(example: PH12345)
Sales Rep Information
Prospect Information
Contact Banker Prior to Sales Call?
What product areas interest the prospect?
(Select all that apply.)
Does the prospect currently have a 401(k) plan?
Additional Information