To begin, complete your information and make your selections below.  Once you have made your selections, submit your form.  Our PaySmart sales team will receive your selections and contact you at the telephone number you have provided.  They will be happy to assist you with any questions or special requests you may have.

Choose from several quality furniture samples and designs. View additional package information.

       
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Online Request for Bundled Services     Referred by:                    (Enter First and Last name, their company)      Your Information Name:   Delivery City: Phone #:   Ext: Cell #: Email:  Fax #: # of Bedrooms  1 2 3 4 5 6 6Plus   # of Baths  1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 6Plus    Apartment   House   Sq. Ft:  Required Lease Length:  3 4 5 6 7 8 9 10 11 12 12+ months    # of Units:    Move in Date:  Monthly Budget (exclude apartment rent):  Notes:  Services Requested Do you require electric service?  Yes  No Do you require gas service?  Yes  No Do you require water & sewer service?  Yes  No  Note: if service is included in apartment rent, do not select. Do you require trash service?  Yes  No Do you require telephone service?  Yes  No  **Credit Card guarantee required to release long distance block. Domestic Long Distance <Applicable per minute rates vary> International Long Distance Unlimited Domestic Long Distance   Caller ID  Call Waiting  Voice Mail  Call Forwarding Do you require High Speed Internet?   Yes No   Do you require digital Cable?   Yes No   Upgraded Digital      ** Required for movie channels, HD & DVR service. High Def Service  DVR Service   # of Outlets   # of Boxes HBO  Cinemax  Showtime   Starz  Other cable channels:  Do you require a furniture package?    Yes  No # of Twin Beds   # of Queen Beds   # of King Beds Manager Special  Standard Pkg Upgrade Pkg Premium Pkg Custom Pkg (complete below) Special Requests:  Do you require housewares?  Yes  No    Kitchen Pkg   Bath Pkg   Bedroom Pkg    Vacuum   Iron & Board  Cleaning Pkg   Extra Place Setting  Extra Towels Custom Pkg:  Do you require electronics?     Yes  No   1 2 3 4 > 4 26" TV w/ Stand    1 2 3 4 > 4 32" TV w/ Stand    1 2 3 4 > 4 DVD Player  1 2 3 4 > 4 Microwave Do you require washer/dryer?   Yes  No      Full Size  Stackable Do you require maid service?    Yes  No      Weekly  Twice a Month  Monthly     If you have completed your online request and can verify that your contact information is correct, please select SUBMIT below to send your request to our PaySmart team.  Response time: M-F,  9-6 EST