ASEC Partner Application

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* 1. Thank you for your interest in the American Savings Education Council. Please refer to the ASEC partnership levels at www.choosetosave.org/ASEC and indicate your level of support for ASEC:

Charter Partner: $50,000 annual

Full Partner: $25,000 annual

Contributing Partner: $10,000 annual

Mission Partner: individual and organizational donations welcome but not required

If contributing as a Mission Partner, please specify amount:

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* 2. Your contact information:

Name: *

Company: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Country:

Email Address: *

Phone Number: *

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* 3. What is your title?

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* 4. If you would like to provide the names and contact information for two other individuals in your organization who you would like to receive information from ASEC please list them below.

Name:

Title:

Email:

Name:

Title:

Email:

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* 5. To whose attention should we send an invoice (if applicable)? Leave this section blank if we should send the invoice to you.

Name:

Company:

Address:

Address 2:

City/Town:

State:

ZIP:

Country:

Email Address:

Phone Number:

Your contribution is tax deductible as either a business expense or a charitable contribution to the Employee Benefit Research Institute Education and Research Fund (EBRI-ERF), a 501(c)(3) nonprofit organization, of which ASEC is a program. Consult your tax specialist. No portion of the funds will be spent on lobbying. EBRI-ERF Tax ID 52-1190398.