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