I affirm that the above information is true to the best of my knowledge. If it should contain a false statement, it will subject me to the same penalty as if I had been duly sworn. I understand that either party may use this account and that both parties will be held liable for the outstanding balance. You agree that we have the right to obtain a credit report and to investigate, from time to time, your credit, employment and income records. You agree that we may, and you authorize us to, share application information about you with others, including our affiliates, to the extent permitted by law.
By clicking the SUBMIT button you acknowledge and agree to the terms stated above. Once approved, we must obtain your signature prior to your first purchase.