1. EXCLUSIVE BENEFITS and DISCOUNTS
FOR BUSINESS OWNERS
and their EMPLOYEES
Access to over 289,000 offers and discounts from
Nationwide and Local companies.
08CB 01/2016
American Savers Club is a Not for Profit Corporation dedicated to brining Special
Savings and Benefits to Business Owners and their employees
AmericanSaversClub.com 1-800-350-5066
1410 Triad Center Dr. St. Peters MO 63376
Basic membership includes:
Access to Nationwide Discount Networks
Personal Health Insurance Shopping Services
Upgraded Memberships include access to:
$10 per month discount on MedicalSavingsPlan memberships
Personal Assistant & Concierge Services
Identiy Theft Protection / Discount Credit Repair Services
ACCIDENT DEDUCTIBLE REDUCTION PROGRAM
Check Out The Savings at www.americansaversclub.com

2. 08CAP 01/2016
Upgraded Membership
is A “NO BRAINER “
with High Deductible
Health Insurance!
PERFECT
High Deductible
Health Companion
ACCIDENT DEDUCTIBLE BUSTER
$2500 or $5000 levels
PROTECTS AGAINST HIGH DEDUCTIBLE
THIS IS NOT INSURANCE!
Introducing a revolutionary non-insurance deductible buster
to help with the high out of pocket medical expenses resulting
from everyday common accidents and today’s high health
insurance deductibles.
No underwriting and no occupational restrictions, we are able
to deliver a high quality accident deductible buster. This is
about half the cost of accident insurance alternatives.
We negotiate your medical expenses due to any accident
down to a guaranteed low max out of pocket and the initial
expenses still apply toward satisfying your deductible.
$2,500 Accident Buster reduces small deductibles that
are up to $2500 down to a $100 maximum per claim
$5,000 Accident Buster reduces larger clams that are
from $2500 to $5000 down to a $200 maximum per claim
 Applies to first $2500 or $5000 of all medical expenses
due to an accident if expenses are not covered by insurance.
 Coverage at home, work or play 24 hours per day!
BASIC MEMBERSHIP Includes:
289,000 Offers from National and Local Companies
Best Available Movie Ticket Prices w/no hidden fees or taxes
Online, Tablet and Mobile access
Free Holistic Health Counselor Consultation
Free Personal Insurance Shopping Service
Free Consultation and Guide to Homeownership
Free Credit & Score Analysis
UPGRADE OPTIONS
Free Claims Review and Patient Advocacy Programs
Access to our exclusive Accident “Deductible Buster”
See Features Options & Details Below and Monthly Pricing on Application page
Concierge / Personal Assistant Service $99 per year
Individual Credit Repair Starting at only $250
Corporate Branding Options–Pricing Varies
These are available to be purchased direct from vendor after fulfillment

3. Quick Fulfillment
$10 discount on Medical
Savings Plans.
The American Savers Club
Guarantee:
If for any reason you are not
completely 100% satisfied with
your upgraded membership
savings or benefits, simply
cancel and receive a no
questions asked refund.
www.AmericanSaversClub.com
1(800) 501-1559
Fax 1(877)828-2604
1410 Triad Center Dr.
St. Peters MO 63376
Do you have a High
Deductible Health Plan?
Protect yourself with the Deductible Buster
Choose $2500 or $5000 of Accident
Deductible reduction. Combining the
deductible buster in the upgraded
membership with your high deductible
insurance to fill the gap and save big!
American Savers Club Exclusive
FREE CONSULTATION with certified holistic health
and nutrition counselor (a $195 value)
PLUS 20% off of additional services
Provided by The Balance Advocates
Have you been wanting to…
- Achieve your optimum weight
- Increase energy and improve sleep
- Address conditions such as High Blood Pressure, Cholesterol, Acid
Reflux, Allergies, PMS, Diabetes or other health issues
- Reduce and manage stress and anxiety
- Experience a lasting increase in your energy and vitality
- Stop your cravings and binges
- Feel better in your body and achieve your ideal weight

4. Initial Amount Due $_________
Access & Enrollment Fee $200.00
Last ________________________________________ First _____________________ MI _______ Birth Date ______________________________
Address ____________________________________________________________________ Social Security # ______________________________
City ____________________________________ State ______________ Zip _____________ Email ______________________________________
Home Phone _____________________________ Work Phone ________________________________ Fax ________________________________
636-922-0048 1(800) 350-5066 Fax 1(877) 828-2604
1410 Triad Center Dr. St. Peters MO 63376
Membership Application
_____________________________________________________________________
Agent Signature Agent #
08CAP 01/2016
Last First M.I. Social Security # Date of Birth Age Sex
Spouse
Dependent
Dependent
Dependent
Dependent
PRIMARY MEMBER Please answer all questions and print clearly
ADDITIONAL FAMILY MEMBERS Please answer all questions and print clearly
Application Date __________________________________
Payment Options
Bank Draft Authorization
I have provided a voided check and I realize
with my signature below I authorize Medical
Savings Plan to automatically draft my bank
account each month in the amount of
$________________
Signature_____________________________
Bank Routing #________________________
Account # ____________________________
Checking Savings

Application Date __________________________________
_____________________________________________________________________
Applicant Signature
Credit Card By signing below I authorize
Medical Savings Plan to charge my credit card
account for the initial amount due and
For the monthly amount of $ _____________
Signature_____________________________
Name on Card ________________________
Card # _______________________________
Expiration _____________
MasterCard
Visa
Choose a Membership Leve Single Family Monthly
Basic Membership
$10 $15
Level 2 - $2,500 Accident
Deductible Buster $25 $40
Level 3 - $5,000 Accident
Deductible Buster $35 $50
Discounted Premier Medical
Savings Plan (with level 2 & 3 only ) $10 $15
Discounted Premier Plus Medical
Savings Plan (with level 2 & 3 only ) $20 $25
Total Monthly Dues
Please allow 1 week for fulfillment.
Less Coupon Code Discount _______
Total Access & Enrollment Fee $_________