1
ACCOUNT INFORMATION
The allocation you request below will apply anytime you use the routing and
account number we provide you. To change the allocation, call
866-521-1894 and provide your direct deposit account number.
Contibutor Name Day Phone
Email Address Evening Phone
✓✓ USE THIS FORM TO:
• Establish direct deposit contributions into an existing T. Rowe Price
College Savings Plan Account. This can also be done by calling .
IF YOU DO NOT HAVE A T. ROWE PRICE COLLEGE
SAVINGS PLAN ACCOUNT:
Visit troweprice529.com to open an Account online.
Complete the New Account Agreement form to open an Account
by mail.
Call 866-521-1894 to open an Account by phone.
✉
RETURN THIS FORM TO:
T. Rowe Price
P.O. Box 17302
Baltimore, MD 21297-1302
DIRECT DEPOSIT
This paper clip indicates you may need to attach documentation.
Capitalized terms not otherwise defined on this form have the meanings
set forth in the Plan Disclosure Document.
2
SIGNATURE
By signing this form, I understand and hereby certify that:
• The signature on this form is a genuine signature of the respective
individual.
• Payroll deduction dates are determined by my employer and cannot be
changed by the Plan.
SIGNATURE AND DATE REQUIRED
Contributor Date (mm/dd/yyyy)
X
Print Name
1A
CONTRIBUTOR INFORMATION
Portfolio Name Account Number
Beneficiary Name Allocation %*
Portfolio Name Account Number
Beneficiary Name Allocation %*
Portfolio Name Account Number
Beneficiary Name Allocation %*
Portfolio Name Account Number
Beneficiary Name Allocation %*
*NOTE: Total allocation must equal 100% and may not include fractional
percentages.
1B
CONTRIBUTION INSTRUCTIONS
For federal government paychecks or pensions, a completed Form 1199A is
required and can be obtained by your employer.
Once your form has been processed, you will receive a confirmation that will
include additional information and the bank routing and account number you
will need to complete the direct deposit process. There is a $50 minimum
contribution per Account, per month.
F5N2NADD 202104-1604961_w Questions? troweprice529.com | 866-521-1894 Page 1 of 1
