LAYAWAY AGREEMENT Dress to Impress

Date: ___/___/____
Customer Name: ________________________
Physical Address: ________________________________
________________________________

Telephone Number________________ Alt. Number________________

Description__________________________________
Price: _____________+ tax__________=____________

Payment Plan (3 Payments)

Due on or before Amount Due
25% Non-refundable Deposit
50% Non-refundable Deposit
If Special Order

Total

All layaway must be paid in full and picked up by: _________________ or it will be
returned to stock. Any payments missed will have a late fee of $10 a day after due
date.

I have read, understand, and accepted the layaway policy

_______________________________ ____________
Signature Date
Employee Initials__________