401kXtra Order by Check

If you would like to order the 401kXtra program by check, please fill out the following information. Click the print form link, or choose File, Print from the pull-down menu. Include this form along with your personal check or bank money order in the amount of $19.00 per item plus an additional $3.00 processing fee. Make checks payable to 401kXtra. Address mail to 401kXtra, 5905 N. Center Road, Saginaw, MI 48604.

Email: Last Name: First Name: Street Address: City: State:    Zip: Country: Phone:

BackMember Center