LAYAWAY FORM

LAYAWAY FORM
Provide information in the form below to ACTIVATE your Layaway. (Down payment required for your layaway order to be processed) NO MINIMUM PAYMENT REQUIRED

* Required fields
Name *
E-mail Address *
ADDRESS, CITY, STATE, ZIP *
(2) CONTACT NUMBERS *
Item # *
Model # (if applic)
LIST PRICE of ITEM *
COLOR SELECTION check Item for available colors *
QUANTITY *
SELECT METHOD BELOW *	STORE PICKUP HOME DELIVERY SHIP
Layaway Purchase Agreement *
Did you make your Layaway Down Payment today? *	YES- online with credit/debit card YES- Online with echeck Will stop in store today with payment Will put my check/MO in the mail today Will stop in store tomorrow with pmt.
How will you make your next Layaway Payments? *
If we have questions regarding your order, when is the best time to Contact you? *	M-F DAYTIME M-F EVENING WEEKEND DAY WEEKEND EVENING
	I have read and agree to the terms detailed on Liability Waiver *
	I have read and agree to the terms detailed on Warranty page. *
	I have read & agree to the terms on Layaway Policy *
How did you hear about ULITMATE TOYZ, LLC? *	Newspaper Classified Online Advertisement Search engine Friend or Family member Radio Advertisement Ultimate Toyz Customer Saw our store none of the above

I have read and agree to the Privacy Policy *

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