Agreement to Keep Allotment Open
For Military and Federal Employees


I can afford the monthly payment, and agree to keep my allotment open until this account is paid in full.

Your authorization is conducted electronically, whereby you acknowledge, by clicking the following box, and typing your full legal name, you have read and agree to these terms.  
Enter  your  full legal name ( first, middle, last)

If you have any questions, or need assistance filling out this form, please give us a call at 866-573-3905.
 
If desired, you may print out a copy of this form, and fax it along with your allotment to 425-484-2273.
 

By pressing the submit button, you affirm that the data above is true and correct, and you agree to the terms outlined herein.


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