Become a New Hampshire Saver

Thank you for becoming a New Hampshire Saver. All New Hampshire Savers enrolling online will be enrolled to receive the America Saves quarterly newsletter. All personal information will be treated confidentially.

1) My Savings Goal:

2) Monthly Savings Pledged $:

3) Number of Months:

4) Type of Account:

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

6) Deposit Method:

7) Your Name:

8) Address1:

9) Address2:

10) City:

11) State:

12) Zip Code:

13) County:

14) Phone:

15) Email Address:

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

25) My favorite savings tip is:

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