Scooter Discounts now offers consumer financing on its scooters and powerchairs. If your insurance company has turned you down or you don't have insurance or the money, Pride offers you a viable option to get mobility assistance immediately.

FIRST, look at how the program works, then fill out the application below:

*No application fee
*Choose term from 12 to 60 months.
*Rates from 12.99% FIXED
*$1,500 to $25,000 financing available
*No early pay penalties
*Response usually within the same day

How to figure out you monthly payments:
1. Choose loan term (# of months).
2. Multiply rate factor of loan term by the amount financed.

($2500) X (.0337)= $84.25 monthly payment.

Press "Control" and "D" at the same time to Bookmark this page

Credit Application.
This form is for your convenience.
Once completed, we will fax/mail it
to you for your approval and signature.
All information is strictly confidential.

This form can only be submitted by those using Netscape Navigator 3.0 or later or Microsoft Internet Explorer. If you are not using this type of browser, please call 727-786-3259 and request an application:

Length of time at this address:

Previous address (if less than 1 yr at current address):

Length of time at your Previous address:

Do you rent or own?: Monthly housing payment:

Home Phone number: Fax number:

E-mail address:

Social Sec. number: Date of Birth: mo/dy/yr

Name of Employer/Business:

Employer Street Address:

Employers City: Employers State

Employers Zip code:

Empl. Phone no.: Length of time with Empl./Business: yr/mo

Your salary: Your position:

Household income per yr.:

Other income per yr.(Alimony, child support, etc):
*Alimony, child support, or separate income need not be revealed if you do not desire such information to be considered by the Bank in making decision.

Previous Employers Name and Address if less than 2 yrs. w/current employer:

Length of time at Previous employer:

CO-APPLICANT INFORMATION ONLY-
(IF YOU ARE A SINGLE APPLICANT, SKIP TO BOTTOM AND
HIT THE "SEND INFO" BUTTON.


Relationship to applicant above:

Your first name:

Middle initial:

Last name:

Mothers Maiden Name:

Please give us your mailing address:

Your Address: Your City:

Your State: Your zip code:

Length of time at this address:

Previous address (if less than 1 yr at current address):

Length of time at your Previous address:

Do you rent or own?: Monthly housing payment:

Home Phone number: Fax number:

E-mail address:

Social Sec. number: Date of Birth: mo/dy/yr

Name of Employer/Business:

Employer Street Address:

Employers City: Employers State

Employers Zip code:

Empl. Phone no.: Length of time with Empl./Business: yr/mo

Your salary: Your position:

Household income per yr.:

Other income per yr.(Alimony, child support, etc):
*Alimony, child support, or separate income need not be revealed if you do not desire such information to be considered by the Bank in making decision.

Previous Employers Name and Address if less than 2 yrs. w/current employer:

Length of time at Previous employer: