savings bonds

Quick Statement Order Form    Share

Please print out this form, fill it out and send it to:
SavingsBonds.com Inc.
2022 Route # 71 - Suite # 200
Spring Lake Heights, New Jersey   077620
email: info@savingsbonds.com
phone: 1-800-717-BOND
If you are paying by Credit Card, feel free to FAX this form to 732-280-0264
Name __________________________________________________
Address __________________________________________________
City _________________   State  ___    Zip Code ______________
Phone# _____________________   Fax #: __________________
Payment Information:
_________ Check or Money Order (payable to SavingsBonds.com Inc.)
Card Type _____  Visa           _____  MasterCard          _____ Discover
Card # ________________________________
Expiration Date _____ / ________          billing zip code ______________

Name To Appear on Statement: _________________________________

Please complete the following information for each bond: (use additional pages as necessary)
Series Face Value Issue Date Serial # (optional)
       
       
       
       
       

Please include any additional bonds on a separate piece of paper with information arranged in order above.

 

A. Specify the number of Bonds and check the appropriate box
(PRICES EFFECTIVE SEPTEMBER 1st, 2001)

Number of Bonds Our Fee Your count
1-10 $ 16.00 ______
11-25 $ 30.00 ______
26-50 $ 38.00 ______
51-100 $ 62.00 ______
101-200 $ 77.00 ______
200+

Call for pricing

1-800-717-BOND (2663)
Total number of bonds submitted: ____________

NOTE: Statements will be dated in the month the order is received.
For backdated statements please call 1-800-717-2663 for details.

B. Optional Services
Check For Yes Method Fee
______ Same day service*:

*
Orders received after Noon EST will be processed/delivered on next business day
1 to 101 bond: add $ 15.00 to above cost.

more than 100 bonds: add $ 30.00 to above cost.

_____ Overnight express delivery service add $ 15.95
_____ Faxing Charge (anywhere in the U.S.) add $  4.95
_____ Standard U.S. Mail  (no extra charge) n/a

 

C. Order Summary
Total Amount from Section A $ ________
NY & NJ Residents add 6% Sales Tax $ ________
Delivery Charges from Section B $ ________
Grand Total (payment amount) $ ________

Home | Login | Contact Us | Site Feedback | Privacy Statement | Links
© Copyright SavingsBonds.com | UIS Inc. Jan 1997 - Oct 2017