Kamibijuu Financing

KAMIBIJUU Financing Application

16 Month | 0% Interest financing | $50 down
Date*

MonthDayYear
Choose One*

Individual CreditJoint Credit
Applicant Name*

First NameMiddle NameLast Name
Current Student
Social Security Number*
Social Security
Birth Date*

MonthDayYear
Phone Number*
Applicant Email*
example@example.com
Present Address*

Street Address

Street Address Line 2

CityState

Zip Code
Previous Address ( If less than 2 years at present address )

Street Address

Street Address Line 2

CityState

Zip Code
Employer Information
How Many Years
Gross Annual Income
Work Phone Number
Additional Income
Co-Applicant Information
Co-Applicant Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Social Security Number
Social Security
Phone Number
Co-Applicant Email
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code
Employer Information
How Many Years
Gross Annual Income
Work Phone Number
Authorization*
Signature*
Should be Empty: