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Please provide the following information:

Please note, 10 digital phone number required, include area code!
xxx-xxx-xxxx or xxxxxxxxxx
First Name:*
Middle Initial:
Last Name:*
Email Address:
Home Phone Number:*
Cell Phone Number:
Street Address 1:*
Street Address 2:
City:*
State:*
Zip Code:*

Please note, we need a street address to be able to ship your computer
Shipping Address is same as the Billing Address
 
Shipping Address 1:*
Shipping Address 2:
City:*
State:*
Zip Code:*
 
Employer:*
How long employed there:* years, months
Employer Address:*
Employer City:*
Employer State:*
Employer Zip Code:*
Employer Phone Number:*
Monthly Income:* $.00
Monthly Rent/Mortgage Payment:* $.00
 
Name, address and phone number of two personal references:
Reference #1:
First Name:*
Middle Initial:
Last Name:*
Address 1:*
Address 2:
City:*
State:*
Zip Code:*
Phone Number:*
 
Reference #2:
First Name:*
Middle Initial:
Last Name:*
Address 1:*
Address 2:
City:*
State:*
Zip Code:*
Phone Number:*

Did a friend or family member tell you about this site?
Please tell us their name:    
 
 
BEFORE HITTING THE SUBMIT BUTTON PLEASE BE SURE YOU HAVE READ THE "HOW IT WORKS" PAGE AND UNDERSTAND OUR PROCESS.
 
Computer to be leased:*
(Please check one:)
Dell Vostro 1000 - Basic Dell Vostro 200 Mini Tower
Dell Inspiron 1525 Dell Inspiron 530
Other
 
Once you submit this application you will be sent a lease form to be signed and mailed or faxed back, along with a copy of a utility bill, driver's license or government ID, pay stub and a copy of a voided check.

*Why do we need this?
Upon receipt of these documents we will confirm the information you provided above. If your lease is approved, we will debit your bank account for your $99 down payment and your computer will be shipped. By applying you agree to have your lease payments automatically debited from the bank account associated with the voided check you supplied.
 

Questions? You can get the answers at customerservice@bowspritcomputerleasing.com or (866) 854-4950

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