Order Low-Cost One-Person 401(k)

No Fees 401(k) For One can be used with or without spousal participation

* This field is required.

PART I: Company Information...

1.Company name

2.Contact person *

3.Title

4.Phone *

6.E-mail *

7.Your 401(k) decision-making role

Sole decision maker

Making recommendation

Leading committee to gather information

Member of committee to evaluate options

Interested employee

Unsure. Please contact me with help regarding this item.

8.Company address

9.City

10.State

Zip Code

11.Company mail-to address

Use address listed above as mail-to address

Use other address

12.Federal ID Number

13.Date business commenced

15.Number of full-time employees on payroll

PART III: Purchase Information...

20. 401(k) One-Person Plan Annual Fee (assessed per calendar year)

$ (ANNUAL FEE)

21. 401(k) One-Person Plan Setup Fee

(assessed one time only: at your plan's outset) (Remember, this fee, unlike the above Annual Fee, is NONREFUNDABLE but generally tax-deductible. We encourage you to "test drive" No Fees 401(k) before you complete your purchase. Simply request a link to our online Demo to see for yourself how easy managing your company's 401(k) online can be.

$ (SET-UP FEE)

22.TOTAL (system price + setup fee)

$ (TOTAL)

PART IV: Payment Preference...

23.NO PAYMENT IS DUE AT THIS TIME

We will contact you within 24 hours of receiving your order to confirm your designations and answer any questions you have.

Do you prefer to be contacted regarding your order by telephone or e-mail?

Contact by phone

Contact by e-mail

24.When your 401(k) representative calls you to go over any items about which you marked "Unsure..." and to collect additional information needed for your plan's official Summary Plan Description (SPD) and Prototype Plan Adoption Agreement, you will be able to pay your 401(k) customization fee using your Visa, MasterCard, or by check through the mail; there is a five-day holding period on all check orders.

As soon as we receive your payment we will customize your software, prepare official documents for your review, then set-up out your customized system. You can have your 401(k) up and running within the week.

PART V: How did you hear about "No Fees 401(k)"?

25.Before submitting your order form, please tell us how you learned about No Fees 401(k)

Web search. Please list the search term(s) you recall using.

Financial planning professional, friend or colleague. Please list the person and/or company name:

Linked to the No Fees 401(k) web site from another web site. Please tell us the name of the site and/or company sponsoring it:

26.Agreement

Now please look over our User's Agreement, then submit your order or inquiry. (Submitting an order acknowledges that you have read and accept our User's Agreement but in no way obligates you to making any purchase.)