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online order form
If you are interested in an item from Stanley's Get It Today, please submit the following form so that we may get the process started. After your information is received, you will receive a call from our company verifying your order form and assisting you in choosing the item that best suits your needs.

CUSTOMER INFORMATION (all fields required)

ITEM WANTED

FIRST NAME  MI  LAST NAME

ADDRESS

CITY STATE ZIP

HOW MANY YEARS MONTHS AT THIS ADDRESS

PHONE # BEST TIME TO REACH YOU

PHONE IS UNDER WHAT NAME

DO YOU RENT OR OWN? Rent Own

NAME OF LANDLORD/MORTGAGE COMPANY

LANDLORD/MORTGAGE PHONE #

YOUR EMAIL ADDRESS

DRIVER'S LICENSE #  STATE   EXP. DATE

YEAR, MAKE, MODEL & COLOR OF CAR

LICENSE PLATE #

YOUR CAR FINANCED BY

YOUR EMPLOYER

WHAT ARE YOUR PAYDAYS

INCOME (month)       WORK PHONE

HOW LONG AT THIS COMPANY

SUPERVISORS NAME


CO-APPLICANT INFORMATION

FIRST NAME LAST NAME

PHONE # BEST TIME TO REACH YOU

DRIVER'S LICENSE #  STATE  EXP. DATE

YEAR, MAKE, MODEL & COLOR OF CAR

LICENSE PLATE #

CAR FINANCED BY

EMPLOYED? YES NO

EMPLOYER

WHAT ARE CO-APPLICANTS PAYDAYS

INCOME (month)       WORK PHONE

HOW LONG AT THIS COMPANY

SUPERVISORS NAME


PERSONAL REFERENCES (at least 2 required, 2 must be relatives)

#1 FIRST NAME LAST NAME

PHONE NUMBER RELATIONSHIP


#2 FIRST NAME LAST NAME

PHONE NUMBER RELATIONSHIP


#3 FIRST NAME LAST NAME

PHONE NUMBER RELATIONSHIP


#4 FIRST NAME LAST NAME

PHONE NUMBER RELATIONSHIP

By submitting order form: I certify that the information supplied by me on this form is true and correct. I authorize Stanley’s Get It Today to verify the truthfulness of all information contained herein. I authorize Stanley’s Get It Today to contact any person or firm listed above. I authorize Stanley’s Get It Today to release any information contained herein to any third party for any reason and I fully release all parties from all liability for any damage that may result. Any false statement made on this form shall be sufficient basis for the rejection of this order. All order forms are subject to management approval.
  I Agree    

 

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