(Under federal requirements, we need to gether this information.) YesNo

In order to approve you for our FREE financing program, we require a $200 down payment with monthly minimum payments of $50. When approved we will charge $200 to your debit/credit card immediately and $50 on a monthly base starting on the 1st of each month.
This unique finance program requires the balance to be paid off in full before the last two training sessions or road test can be scheduled.
Which card number would you like us to use for this payment plan:

Alternate Payment Method