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Home
Computer Repair
In Store Services
Apply for a Job
Lay-A-Way Form
*
Indicates required field
Name
*
First
Last
Date of Sale:
*
Lay-A-Way Due Date:
*
Phone Number
*
Items in Lay-A-Way: (Also include price, what they owe and deposit amount)
*
Preferred Pickup Location:
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Crown Center
Super Flea
Ship to customer
Notes about the Lay-A-Way:
*
Submit