Request Free Information & Enrollment Kit

<!DOCTYPE html>    <html class="gt-ie9" lang="en"> <head> <meta charset="utf-8"> <meta name="viewport" content="width=device-width, initial-scale=1.0" /> <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1" /> <title> Request Free Information & Enrollment Kit | College Advantage </title> <script type="text/javascript" src="/content/scripts/vendor/modernizr.min.js"></script> <script src="/ScriptResource.axd?d=wIuRaUoAZ6lXIF1Yn5fO2Ao5M-lVxhGA_H5go8kEqmrG8bTKbUCbsqijAWSlIwpTSvC9JCMT0-biN_xZBaJCrNTFcq6MbvQFpsW7HSPZ6DVfTOYsKE2x2MrgFNNGgUAB5B9yMRmY7JzwqI-5ApywPL75TazGhn7drbAAWXlEXOdRf7p_0&t=28b41678" type="text/javascript"></script><script src="/ScriptResource.axd?d=EydukmxBmDstn7gSYzQESJg4MAIC2q4nqHSm_JPPf7EkIGRJ-pcdQfHnhr8v-R89ycIYWuGlvty_TmGv2bT6xiH89X6pAvDycg__N1vYyPOmRui6Ql2YSc3VoNxHbOxCquBGE8piVCLvIFhuGxClnNZBoRiHoJHZL0af2NxQIji6MNfM0&t=28b41678" type="text/javascript"></script> <script src="/Content/_source/vendor/bootstrap/js/bootstrap.bundle.min.js"></script> <script src="/Content/Scripts/userScore-tracking.js"></script> <link rel="mask-icon" href="/content/images/safari-pinned-tab.svg" color="white"> <link rel="apple-touch-icon" sizes="180x180" href="/content/images/apple-touch-icon.png"> <link rel="icon" type="image/png" sizes="256x256" href="/content/images/android-chrome-256x256.png"> <link rel="icon" type="image/png" sizes="192x192" href="/content/images/android-chrome-192x192.png"> <link rel="icon" type="image/png" sizes="32x32" href="/content/images/favicon-32x32.png"> <link rel="icon" type="image/png" sizes="16x16" href="/content/images/favicon-16x16.png"> <link rel="shortcut icon" href="/content/images/favicon.ico" type="image/x-icon" /> <link rel="manifest" href="/site.webmanifest"> <meta name="msapplication-TileColor" content="#ffffff"> <meta name="msapplication-TileImage" content="/content/images/mstile-150x150.png"> <meta name="theme-color" content="#ffffff"> <link rel="stylesheet" href="https://use.typekit.net/zru7qdk.css"> <link href="https://fonts.googleapis.com/css2?family=Lato&display=swap" rel="stylesheet"> <link href="/Content/Scripts/vendor/videojs/video-js.min.css" rel="stylesheet" /> <link rel="stylesheet" href="/content/styles/main.min.css" />   <script> !function (f, b, e, v, n, t, s) { if (f.fbq) return; n = f.fbq = function () { n.callMethod ? n.callMethod.apply(n, arguments) : n.queue.push(arguments) }; if (!f._fbq) f._fbq = n; n.push = n; n.loaded = !0; n.version = '2.0'; n.queue = []; t = b.createElement(e); t.async = !0; t.src = v; s = b.getElementsByTagName(e)[0]; s.parentNode.insertBefore(t, s) }(window, document, 'script', 'https://connect.facebook.net/en_US/fbevents.js'); fbq('init', '336452470148478'); fbq('track', 'PageView'); fbq('track', 'CompleteRegistration'); </script>   <script> (function (w, d, s, l, i) { w[l] = w[l] || []; w[l].push({ 'gtm.start': new Date().getTime(), event: 'gtm.js' }); var f = d.getElementsByTagName(s)[0], j = d.createElement(s), dl = l != 'dataLayer' ? 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var hash = el.href.split("#")[1]; var accNum = parseInt(hash.substring(9)) - 1; setTimeout(function () { $(".hamburger").click(); }, 500); } } </script> <div class="mobile-nav-footer"> <ul class="mb-3"> <li class="py-2"><a href="/529s-in-29-seconds" target="_self" title="529s in 29 Seconds">529s in 29 Seconds</a></li> <li class="py-2"><a href="/blog" target="_self" title="529 Explorer">529 Explorer</a></li> <li class="py-2"><a href="/529-gift-central" target="_self" title="529 Gift Central">529 Gift Central</a></li> <li class="py-2"><a href="/plan/request-a-kit" target="_self" title="Request A CollegeAdvantage Kit">Request A CollegeAdvantage Kit</a></li> <li class="py-2"><a href="/about-us" target="_self" title="About Us">About Us</a></li> </ul> <ul class="d-flex justify-content-around border-top py-2 text-center"> <li class="p-sm-2 p-1"><a href="/contact-us" target="_self" title="Contact Us">Contact Us</a></li> <li class="p-sm-2 p-1"><a href="/privacy-notice" target="_self" title="Privacy Notice">Privacy Notice</a></li> <li class="p-sm-2 p-1"><a href="/legal" target="_self" title="Legal">Legal</a></li> </ul> </div> </div> </nav> </header> <main id="content"> <div class="container" id="maincontent"> <div> <nav class="breadcrumb" aria-label="Full path to the current page"> <ul> <li><a href="/">Home</a></li> <li><a href="/plan">Plan</a></li> <li class="active" aria-current="page">Request Enrollment Forms</li> </ul> </nav> </div><div class="expandable-column expand" data-sf-element="Row"> <div id="bodyPlaceHolder_T8A32AEEA001_Col00" class="sf_colsIn" data-sf-element="Column 1" data-placeholder-label="Column 1"><style type="text/css"> input[type=text].error, input[type=checkbox].error, submit.error, textarea.error, .select.error { border-color: #d60053; } input[type=text] { font-size: 16px; } .alert { border: 1px solid #d60053; background-color: rgba(187,0,0,.2); text-align: center; margin-bottom: 25px; } </style> <h1 class="heading--1 color--blue1">Request Your<br /> CollegeAdvantage 529 Kit</h1> <p>Enter your information and we'll send you a CollegeAdvantage Kit with account details for the CollegeAdvantage Direct 529 Savings Plan.</p> <p><span class="required">* Required</span></p> <div class="alert error" style="display:none"><span></span></div> <form action="/plan/request-a-kit" method="POST" name="RequestEnrollmentKitForm" id="requestEnrollmentKit"> <div class="form padding-top padding-bottom-4x"> <div class="form--50"> <label for="firstname">First Name <span class="required">*</span></label> <input type="text" id="firstname" name="firstname" /> <p id="firstname-error" style="color: #D8000C; text-align:left;"></p> </div> <div class="form--10"> <label for="initial">Initial</label> <input type="text" id="middleinitial" name="middleinitial" /> </div> <div class="form--50"> <label for="lastname">Last Name <span class="required">*</span></label> <input type="text" id="lastname" name="lastname" /> <p id="lastname-error" style="color: #D8000C; text-align:left;"></p> </div> <div class="form--50"> <label for="address1">Address 1 <span class="required">*</span></label> <input type="text" id="address1" name="address1" placeholder="123 Main St." /> <p id="address1-error" style="color: #D8000C; text-align:left;"></p> </div> <div class="form--50"> <label for="address2">Address 2</label> <input type="text" id="address2" name="address2" placeholder="Apartment, Suite, etc." /> </div> <div class="clearfix"> </div> <div class="form--25"> <label for="city">City <span class="required">*</span></label> <input type="text" id="city" name="city" placeholder="City" /> <p id="city-error" style="color: #D8000C; text-align:left;"></p> </div> <div class="form--20"> <label for="state">State <span class="required">*</span></label> <div class="select"> <select id="state" name="state"><option value="">Select...</option> <option value="AL">Alabama</option> <option value="AK">Alaska</option> <option value="AZ">Arizona</option> <option value="AR">Arkansas</option> <option value="CA">California</option> <option value="CO">Colorado</option> <option value="CT">Connecticut</option> <option value="DE">Delaware</option> <option value="DC">District of Columbia</option> <option value="FL">Florida</option> <option value="GA">Georgia</option> <option value="GU">Guam</option> <option value="HI">Hawaii</option> <option value="ID">Idaho</option> <option value="IL">Illinois</option> <option value="IN">Indiana</option> <option value="IA">Iowa</option> <option value="KS">Kansas</option> <option value="KY">Kentucky</option> <option value="LA">Louisiana</option> <option value="ME">Maine</option> <option value="MD">Maryland</option> <option value="MA">Massachusetts</option> <option value="MI">Michigan</option> <option value="MN">Minnesota</option> <option value="MS">Mississippi</option> <option value="MO">Missouri</option> <option value="MT">Montana</option> <option value="NE">Nebraska</option> <option value="NV">Nevada</option> <option value="NH">New Hampshire</option> <option value="NJ">New Jersey</option> <option value="NM">New Mexico</option> <option value="NY">New York</option> <option value="NC">North Carolina</option> <option value="ND">North Dakota</option> <option value="OH">Ohio</option> <option value="OK">Oklahoma</option> <option value="OR">Oregon</option> <option value="PA">Pennsylvania</option> <option value="PR">Puerto Rico</option> <option value="RI">Rhode Island</option> <option value="SC">South Carolina</option> <option value="SD">South Dakota</option> <option value="TN">Tennessee</option> <option value="TX">Texas</option> <option value="UT">Utah</option> <option value="VT">Vermont</option> <option value="VI">Virgin Islands</option> <option value="VA">Virginia</option> <option value="WA">Washington</option> <option value="WV">West Virginia</option> <option value="WI">Wisconsin</option> <option value="WY">Wyoming</option> </select> <p>Select...</p> </div> <p id="state-error" style="color: #D8000C; text-align:left;"></p> </div> <div class="form--20"> <label for="zip">Zip <span class="required">*</span></label> <input type="text" id="zip" name="zip" placeholder="00000" /> <p id="zip-error" style="color: #D8000C; text-align:left;"></p> </div> <div class="clearfix"> </div> <div class="form--25"> <label for="phone">Phone <span class="required">*</span></label> <input type="text" id="phone" name="phone" placeholder="(XXX) XXX-XXXX" /> <p id="phone-error" style="color: #D8000C; text-align:left;"></p> </div> <div class="clearfix"> </div> <div class="form--25"> <label for="email">Email Address <span class="required">*</span></label> <input type="text" id="email" name="email" placeholder="you@example.com" /> <p id="email-error" style="color: #D8000C; text-align:left;"></p> </div> <div class="clearfix"> </div> <div class="form--50"> <label for="numberOfChildren"> How many application forms do you need in your kit? <span class="required">*</span><br /> <em style="font-size: smaller;">You'll need a separate account application form for each child.</em> </label> <div class="select"> <select id="numberOfChildren" name="numberOfChildren"><option value="">Select...</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> </select> <p>Select...</p> </div> <p id="numberOfChildren-error" style="color: #D8000C; text-align:left;"></p> </div> <div class="form--50"> <label for="howHear">How did you hear about us?</label> <div class="select"> <select id="howHear" name="howHear"><option value="">Select...</option> <option value="Newspaper">Newspaper</option> <option value="Magazine">Magazine</option> <option value="Direct Mail">Direct Mail</option> <option value="Website">Website</option> <option value="Referred By Friend">Referred By Friend</option> <option value="Web Advertising">Web Advertising</option> <option value="Web Search">Web Search</option> <option value="E-Newsletter">E-Newsletter</option> </select> <p>Select...</p> </div> </div> <div class="clearfix"> </div> <div> <label for="method">How would you like to receive your CollegeAdvantage Kit?</label> <label class="radio" for="download"> <input type="radio" id="download" value="download" name="how-to-receive" /> <span>Download a PDF</span> </label> <label class="radio" for="mail"> <input type="radio" id="mail" value="mail" name="how-to-receive" /> <span>Mail to address above</span> </label> </div> <div class="clearfix"> <label class="nobold" for="promotionsSignup"> <input type="checkbox" id="promotionsSignup" name="promotionsSignup" /> Yes, I want newsletters with helpful hints and saving tips. 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