1. INW Direct Deposit Questionnaire

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* 1. If Independence Northwest started offering an option to have payments direct deposited into your bank account, would you sign up for this option?

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* 2. If you did NOT answer "yes" to question number one, please tell us why are aren't interested in direct deposit.

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* 3. Name (optional)

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* 4. Email address (optional - we will not share your email address with anyone)

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