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If you would like a fee quote for plan administration, please complete this questionnaire and submit it to us. Your email address must be included so we can send the quote to you.

Name of company:
Number of participants:
Type of plan: 401(k) 403(b) Profit Sharing Cross Tested
Defined Benefit Age Weighted Money Purchase
Investments:
Frequency of Statements: Quarterly Semi-Annual Annual
Web site access? Yes No
E-mail Address:
Questions or Comments:

SEBS Web Site Privacy Notice and Legal Page .
© 2007 Southeastern Employee Benefit Services (SEBS)
SEBS is a Third Party Administrator (TPA) for Retirement Plans
723 Coliseum Drive, Suite 200 Winston-Salem, NC 27106  Phone: (336) 723-0509  (800) 223-9541  Fax: (336) 723-2756
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