Furniture Retail Layaway Installment Agreement

Customer Information

Customer Name:

Phone Number:

Address:

Store Information

Store Name:

Store Phone Number:

Store Address:

Item Information

Item Description:

SKU/ID:

Quantity:

Total Price:

Layaway Terms

Deposit Amount:

Date of Deposit:

Installment Amount:

Number of Installments:

Frequency:

Installment Due Dates:

Final Payment Due Date:

Agreement Terms

The customer agrees to pay the total purchase price of the items listed above through the layaway payment plan. The item(s) will remain the property of the store until fully paid. If payment is not made as agreed, the store may cancel this agreement.

Cancellation/Refund Policy:

Customer Signature

Date

Store Representative Signature

Date