Savvy Savings Enrollment Form

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Account Holder Information

Please submit one form per individual account owner. If you have a joint account, each account owner needs to fill out this form.

First Name

Please fill in your first name.

Last Name

Please fill in your last name.

Phone Number (Mobile)

Email Address

Last 4 Digits of Your Social Security Number

Last 4 Digits of Debit Card

This is the card you want Savvy Savings to track and round-up savings from. The round-ups from each purchase you make on this card will add to savings!

Last 4 Digits of Account Number Pulling Savings from

This is the account you want to round-up savings to be drawn from. The debit card and account number must have the same owner. (If there are multiple debit cards on the account, please submit one form per individual account owner)

Last 4 Digits of Account Number for Savings to Deposit

This is the account number you want the round-up savings to be deposited into. (If you wish for savings to deposit into another person's account, please contact Customer Service at 1.866.EXTRACO (398.7226).)