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*1. Choose your Deposit Option : |
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| A. Fixed Rate Option |
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| B. Variable Rate Option |
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*2. Enter the amount you wish to save
each month |
EUR |
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| (At least EUR12.50 (�9.84) and not more than EUR254 (�200.04) per month) |
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| *3. Enter your Direct Debit Commencement Date: |
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Day
Month
2002
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| (Must be no later than the 20th of the month) |
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| *4. Do you have a printer? |
Yes
No |
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| *5. How did you hear about the website? |
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