Patriot Computers | Military Credit Financing | Online Secure Credit Application

MILITARY CREDIT FINANCING

IMPORTANT APPLICANT INFORMATION: Federal law requires financial institutions to obtain sufficient information to verify your identity. You may be asked several questions and to provide one or more forms of identification to fulfill this requirement. In some instances we may use outside sources to confirm the information.By submitting this application for credit Patriot Computers will obtain your credit bureau report for review. The information you provide is protected by our privacy policy and federal law. Fields marked with a * are required.
Application Type:* Individual Joint
Purpose:*	Product:		Special Order Item - Call Me
Method of Repayment:*		Preferred Payment Day:*
Amount Requested: $ OR As much as Possible.
In Store: Check this box if you are filling out the application in the store

Borrower Information

Name:*


First Name	MI	Last Name	Suffix

Your Rank*: Your Rate/Months*:

Birth Date:*


Year	Month	Day

SSN:*

Re-enter SSN:*

ETS:*

Employer:*

Branch of Service:*

Only required for Active, Activated Reservist/Guard or Retired Military

Employer Address:*

Employer State*

Employer Zip*

Current location:*

Country of Residence:*

Address:*

Home Phone:*

City:*

State / Zip:*

Email Address:*

NOTE: If you do not have an email address Click Here to register for a free account with yahoo.com. You may also enter your military or work email address. By providing your email address, you consent to receive electronic information such as notices of credit decisions, monthly billing statements and collection notices.

Co-Borrower Info