Wilde Built Tactical, LLC Date : / / 6045 Lake Murray Boulevard Required La Mesa, CA 91942 (619) 667-9453 Invoice Number : Required www.WBTGUNS.com WBT LayAway Purchase Application Required Customer Name : Name on Card Required Billing Street Address : Address associated with credit card Required Billing City, State & Zip Code : City, State & Zip Code associated with credit card Required Phone : Phone # associated with credit card Email : Required Credit Card # : Required Required Expiration Date : Required CVV # : 3 digit number on back of card Please Do you authorize more of Minimum 25% Down Payment : Check if OK OR a down payment? % OR Dollar $ Amount Please Terms and Conditions Acknowlegement Check Required P Please Print Name I, ______________________________________ hereby acknowledge that I have read and understand the terms of the Wilde built Tactical, LLC LayAway Purchase Agreement and by signing below, I am agreeing to all of the terms and conditions outlined on the website. I am also authorizing Wilde built Tactical to use my credit card information to process my transction(s). Customer Signature : Required Date : Required Do not mark below dotted line For WBT Office Use Only Status will be returned by WBT Reason(s) for denial APPROVED DENIED Processor: Invoice # : Manager Approval : Date Application Received : Invoice Total Amount : Down Payment (25% of Total price) Unless higher amount Initial requested by customer charged on logged into invoice notes Initial 2nd installment due and will be charged on logged into invoice notes Initial 3rd installment due and will be charged on logged into invoice notes Initial 4th installment due and will be charged on logged into invoice notes 5th installment Initial Paid in Full !!! due and will be charged on logged into invoice notes Initial Schedule sent to Customer's Email? logged into invoice notes Date :
Enter the password to open this PDF file:
-
-
-
-
-
-
-
-
-
-
-
-