Requirements:
1) You must have an active checking account with no NSF's within the last 30 days.
2) You must have at least 6 months at your current job.
*
Present Home Address
Apt./Suite
*
City
*
State
*
Zip
What is the best phone number
where we
can reach you?
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Main Contact Phone
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Phone Type
* Alternate Phone
* Alternate Phone Type
*EmployerName
*Yrs. or Mos. Employed
I
hereby declare I am applying for a sales contract
with US Credit Sales Inc. and/or one of it’s
partners, affiliates, or brokers/dealers under the
provision of Section 552a(b) Public Law 93-579,
commonly known as the Privacy Act, Dept. of Defense
5400.11 enc 5 Par3 - 2 apr 340 - 21 Dept. of the
Army, 27 August 1975 Section C, Par 24 AFR 12-35,
Dept. of the Air Force Par 7a(1), SECNABINST 5211.5
Dept. of the Navy 14 August 1975. I understand that
my application may be submitted to one or more
lenders, partners, affiliates, or brokers/dealers to
obtain suitable financing for said contract. I
further understand that the Lender will not contact
my Commanding Officer in connection with this debt
unless I specifically give the Lender prior consent
to make such contact. With full knowledge and
understanding of this right, I hereby consent to
contacting my Commanding Officer/Personnel Officer
and/or Custodian of my official records to obtain my
current military and /or civilian address even
though I may be discharged and/or retired from
military service. I also consent to you contacting
my Commanding Officer in connection with the
collection of the debt made hereby at any time when
it is in default and until such time as the debt has
been paid in full. I
have read the above terms and I agree to them