MV Computer - Payment Plan Application

MV Computer Help is pleased to offer a simple payment plan with no hidden fees and no fine print.
If you are interested in owning one of the computers or gaming systems on this site,
 please fill out  this application and do one of the following so that we may review and process is for you ;

* Call us at (520) 305-4707 and we will take your application information over the phone

 * Fill out the application and click the "submit form" button below.

All sections of the application must be filled out, or we cannot process your application.
 Please call us at the number above if you have any questions, or email us at info@mvcomputerhelp.com
 You must be at least 18 years of age or older to apply.

First Name &
full middle name:

 

Last Name:

 

Home Address:

Address (cont.):

City, State:

 We ONLY rent to Tucson area residents!

Zip Code:

 

Phone Number:  
E-mail:
Alternate Phone Number & Name:
   
Landlord Name:  
Landlord Phone:
Move-in date:
Length of lease:
(If you own your home or live with family, etc.-please state that information)

Please list what you are applying for (i.e. Dell Laptop, XBOX Pro, etc.)-
 



Are you currently employed?
Yes 
No
 


Name of current employer & address:


 



Your position & 
Supervisors name:

 




Employer's phone number 
& email (if available)  :

 


 Pay Frequency (i.e. weekly, 
every two weeks on Friday) & your next pay date:




If not currently employed, please explain your 
income situation (i.e. student, disability, etc.)





If you would like to provide any 
additional information-please do so below.






How did you hear about us? (i.e. internet-Craigslist, a friend John Brown)




You authorize MV Computer to 
contact you at work if not other wise able to contact you: 


Yes  


No

I promise that the information that I have provided on this application is 
correct. I authorize MV Computer

to completely verify all information that I have provided, including contacting 
any persons listed on this application.

This form is an application to purchase a computer on installment payments, and 
may be rejected if any information

is found to be false or unverifiable. MV Computer also reserves the right, to 
contact you for additional

information, if necessary, in order to complete your application.


 Please 
type or sign your name below:






 
 








													
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Copyright © 2008 [MV Computer]. All rights reserved. 

Revised: 
09/07/08