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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 / Line of Credit agreement form. Sign in the space for the service you are choosing to use. Gold Jewelry Financing or Line Of Credit Financing (scented items). You must be 18 years or older to use the financing services listed above and below.



Your Full Name & today's date. : *
Your Address: *
City: *
State:*
Zip: *
Phone: *
Email: *
Membership Number: The last 4 numbers of your social security number.: *
Here in this space is my electronic Signature agreeing to come back to Delightful Scents website for the next 12 months on the payment due date I was given by Delightful Scents via my email address. I agree that failure to come back and make the total 6 or 12 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 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 mail address and make your monthly payments. You will add any late fees with your regular payment for all months you were late paying. You agree that you will have a total of 12 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 12 monthly payments. If you are not using this option. Do not sign:
Sign to state you are agreeing to a Line of Credit financed scented items order. And that you are agreeing to the terms shown above for coming back to Delightful Scents website and making your 6 monthly payments. If you are not using this option. Do not sign.:



(Fields marked with * are required)




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