Request a Quote

Please complete and submit the following, and a representative from ProBenefits Inc. will contact you with additional information.

Download our Census Form

After downloading the census form, please fill it out and email to or fax it back to our office at (780) 963-0982.

Thank you for your time and consideration. We look forward to forming a partnership with you and we are confident our team approach will serve your organization well.

Company Name

Contact Name

Your Email


Phone Number

Number of Employees

Additional Information