Application Form | Sam's Furniture and More

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Application Form

Sofa, Loveseat, Tv and Tv stand

Pendleton Blankets

Navajo Basket and Navajo Jewelry

Native American Jewelry

Date of Application

Month

Day

Year

Sam's Furniture and More Salesperson:

Applicant First name, Last Name*

Mailing Address*

Address, State, Zip Code

Phone*

Physical Address

Physical Location of Home, State, Zip Code

Email Address

Birthdate*

Social Security # (Won't be shared)*

License/ID #, State, Expires*

Ex. 1200546589, NM, 12/12/2030

Job Title/Employer/Income Source and Address*

Type of Employment

Monthly Income? How long with Employer?*

Ex. $4,500. 20 years

Date of last paycheck

When get paid*

Weekly

Bi-Weekly

Monthly

Yearly

How do you get paid?

Day of the week get paid

Bank Name

Please Have your Banking Acct, Routing Info to finish process.

Bank Routing# / Bank Acct#*

Info will not be shared only us and lender

What are you looking to get?

samsfnm@gmail.com

1100 E. Aztec Ave

Gallup, NM 87301

Sam's Furniture and More

A Message From Our Team

We built Sam’s Furniture & More to give our community real options — without pressure and without empty promises. This business is rooted in transparency, hard work, and respect for every person who walks through our doors. When you apply with us, you’re not just a number; you’re someone we take the time to listen to, explain things clearly, and work with. Apply with confidence — we’re here to help you.

— Sam’s Furniture & More Team

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Shipping Policy

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