Financing Form


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Instructions
Please fill out the form below, and click the SUBMIT button at the bottom of the screen to send us your Financing agreement form. Sign in the space provided. You must be 18 years or older to use the financing services listed.

Your Full Name & today's date. :	*
Your Address:	*
City:	*
State:	*
Zip:	*
Phone:	*
Email:	*
Membership Number: The last 4 numbers of your social security number.:	*
Signed here in this space is my electronic Signature agreeing to come back to Delightful Scents website for the next 6 months on the payment due date I was given by Delightful Scents via my included with my order, Multi-Purpose Order form. I agree that failure to come back and make the total 6 monthly payments to them, Delightful Scents will result in legal action being taken against me to get all the money I owe them and I also agree to be responsible for all fees and costs associated with then having to take such action against me. Also should they, Delightful Scents have to hire a tracing agency to find me in order to be able to take legal action against me to get the money I owe them. I agree to be responsible for all additional cost associated with them having to do that.:	*
Sign to state you are agreeing there will be a late fee of $12.00 added to your account balance for each month you fail/don't come back to this Delightful Scents website on the specified payment due date given to you via your Multi-Purpose Order Form and make your monthly payments. You will add any late fees with your regular monthly payment for all the months you were late paying. You agree that you will have a total of 6 months to finish paying off your balance owed. No Longer than that. By electronic signing your name. You are agreeing to the stated terms in this section of this agreement form.:	*
Sign to state you are agreeing to a financed gold jewelry item(s) order. And that you are agreeing to the terms shown above for coming back to, Delightful Scents website and making your 6 monthly payments. :	*

(Fields marked with * are required)

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