Stereo Jungle 

Credit Card

Please fill out our Credit Card Application  (For Puerto Rico Residents Only)

** Must be 21+ years old.                    Spanish Version

Personal Information
Name:

S.S. 
Birth Date
  Civil Status

How many dependants
Postal  Address:

City:

,PR

       ZipCode

Residential Address:

City:

,PR

 ZipCode    

House Status 

 Market Price for House?

Years at present address:

years

 Home    Telephone:

Vehicle you own
Model Year Status
Work Information
Employer/Company:

Employer Tel.:

How many years:

Monthly Revenue
Position:
Personal Reference Information
Family contact Name:

Telephone:

Input Your E-mail for further Specials

 

Comments or any special request!

 

 
 
Stereo Jungle
Road #14  Km 31.7
Coamo, Puerto Rico  00769
Tel (787) 825-4045 Fax. (787) 825-8499
stereojungle@prtc.net
 

Please contact the Webmaster if you have questions.

Last Update: 01/16/12
Web Author: Edwin Rivera
Copyright ©2000 by Stereo jungle - ALL RIGHTS RESERVE