Become a New Hampshire Saver

Thank you for becoming a New Hampshire Saver and participating in the second annual America Saves - New Hampshire Saves Campaign. You are automatically entered into the drawing for a $50 U.S. Savings Bond. All New Hampshire Savers enrolling online will receive the America Saves quarterly newsletter. All personal information will be treated confidentially.

1) My Savings Goal:

2) If you selected Other, please write your savings goal here:

3) Monthly Savings Pledged $:

4) Number of Months:

5) Type of Account:

6) If you selected Other, please enter the type of account here:

7) Deposit Method:

8) Your Name:

9) Address1:

10) Address2:

11) City:

12) State:

13) Zip Code:

14) County:

15) Phone:

16) Email Address:

	Do Already	Plan To Do	Don't Plan To
Which response best describes your household now:
17) Follow a spending/savings plan (budget)?
18) Have an emergency fund?
19) Save on a regular basis?
20) Manage credit use/reduce debt?
21) Pay credit card balances in full?
22) Keep track of spending?
23) Obtained a copy of my credit report?
24) Have a plan to achieve retirement goals?
25) Participate in an employer retirement plan?

26) My favorite savings tip is:

27) Check if you don't want to receive information (including a free quarterly newsletter) from America Saves.
No thanks.