*Company Name:
*Company Address 1:
Company Address 2:
*City / State / Zip:
*State:
*Zip:
*Primary Phone:
*Type of Business/Partnership:
*Your Email Address:
*Choose a Password / Confirm:
*Confirm Password
* Required
*Your Name First/Last:
*Last Name:
*Title:
* Required
We value your partnership and want you to choose the ADP Sales Associate who will work with your referrals!
* Required
* Employer identification number
Under penalties of perjury, I certify that:
* Required
Enter your User Name in the field below and submit. You will receive an email with instructions on how to reset your password.
The ADP, Inc Referral Rewards program is offered by ADP, Inc.’s Small Business Services Division and is subject to applicable terms and conditions.
The Referral Rewards Website is managed by Amplifinity, Inc., 912 N. Main St. Suite 100, Ann Arbor, MI 48104.