Goliath Payment Plan Application
Email address *
You Must be 18 years of age or older, have a checking account in your name that has been open for 60 days, and earn at least $1,200 per month to be approved.
Check yes if you meet these qualifications *
Title *
Name *
Middle Initial *
Last Name *
Address (Add Apt # if applies to you) *
City *
State *
Zip *
Social Security # *
Date of Birth *
MM
/
DD
/
YYYY
Driver License # / ID # *
State *
Home Phone *
Cell Phone *
Contact Information. (We will send a text message to your cell phone to verify you are a real person. We NEVER share your contact information with anyone. Standard messaging rates apply.)
Text Message Verification: You will receive a text message with a pin number, you will have to email that number back to us to finalize your application.
Our partner, Okinus will handle the text message verification for Goliath Mattress. Please respond when you receive you text message verification to your phone.
Email *
Confirm Email *
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