Financing Application

Take 2 minutes to see what you qualify for!

Our Easy Financing program offers our valuable customers a quick and easy way to qualify for in-store payment solutions through our safe online application. You will receive an answer back within seconds and know you have to work with. This “no credit check” program makes it easy for all credit types to get the solutions you need to make your purchases.

Please fill out the form below.

First Name *

Middle Name *

Last Name *

Email *

Phone *

Date of Birth *

Street Address *

City *

State / Province *

Postal / Zip Code *

Housing Information

Parents/Relative

Rent

Own

Other

Do you have a valid checking account with a bank in the United States? *

Yes

Monthly Net Income from All Sources? *

Who is your employer?

Your Employer's Phone Number?

Please describe the mattress, adjustable base, or bedding accessories that you are in need of. *

Estimate the approximate $ value of what you need? *

Which of our Blissful Mattress locations is most convenient for you? *

Blissful Mattress Oregon City - 1678 S Beavercreek Rd Suite T, Oregon City, OR 97045 - Phone: (503) 650-3829

Blissful Mattress The Dalles - 1332 W 6th St, The Dalles, OR 97058 - Phone: (541) 296-1600

Please indicate the most convenient date you'd like to select your new mattress / bedding *

Please indicate the most convenient time? *

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By completing, you certify that the information provided is accurate and re-affirmed by my signature above. By completing, you authorize representatives of Blissful Mattress to assist you in credit applications in person at the designated location indicated above. I understand additional details will be needed to proceed at the designated time, date and location indicated above. *DO NOT include critical personal data on this form, including Credit/Debit Card, or bank account information or Social Security Numbers. By completing this form, you authorize Blissful Mattress to communicate with you digitally. Unsubscribe at any time.