Apply Online for Pay Weekly Goods

Online Application

There are 3 ways you can apply

Fill in the
Form below
and submit

Call us on

0333 123 9000

Mon - Fri 9am - 5:30pm


Item details Please ensure you have checked the measurements of the product

Item name:		Payment option (optional): (i.e 78 week payment terms)


*Personal details ( denotes a required field)**
Mr Mrs Miss

Forename(s) *:		Email *:


Surname *:


Date of Birth:		Areas we cover PLEASE NOTE The area shaded in blue, is the area we cover. If you have any issues filling out this form, Call us on 0333 123 9000 Mon - Fri 9am - 5:30pm
/ /
Home Phone:

Mobile Phone *:

House Number*:

Street *:

Town/City *:


Region *:


Postcode *:




Are You An Existing Easy Buy Customer?

Yes No

Privacy Policy Check here to indicate you accept our Privacy Policy