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Yes
I want to be an American Saver
All personal Information will be treated confidentially.
I agree to work toward the following savings goal (e.g., home ownership, emergency fund,
retirement)__________________________________________________________________
by saving $_______________________________a month for __________________months
in the following institution and type of account ___________________________________
___________________________________________________________________________
___________________________________________________________________________
to which I will make deposits by (method)________________________________________
___________________________________________________________________________
starting (approximate date)____________________________________________________
Or, I will add $_________________ a month toward
repayment of my debts.
Signature__________________________________________________________________
Name_____________________________________________________________________
(please print)
Address___________________________________________________________________
__________________________________________________________________________
E-mail (optional)____________________________________________________________
Send to America Saves by mail at P.O. Box 12099,
Washington, DC 20005-0999, or by fax at (202) 797-9093.
Visit our website at www.AmericaSaves.org
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