Response-O-Matic Form

Application to Open 401(k) Plan with VEC bank

1. Complete the application below. Click the submit button.

Description

Company Name

Street Address

Room Number

1 City, State

2 Zip Code

3 Telephone

4 Company Email

5 Name of VE Coordinator

6 Name of Benefit Officer

7 Date

8 Investment Choice (Choose One)
__Savings Account
or
__Money Market Account

Write either Savings Account
or Money Market Account in this box.

	Description
	Company Name
	Street Address
	Room Number
1	City, State
2	Zip Code
3	Telephone
4	Company Email
5	Name of VE Coordinator
6	Name of Benefit Officer
7	Date
8	Investment Choice (Choose One) __Savings Account or __Money Market Account	Write either Savings Account or Money Market Account in this box.