MedicalBreakthrough.org - Official Site of Medical Breakthrough™ Massage Chairs!

Finance Your Purchase - Talk to a financing expert!

We have a few different companies available to finance your purchase. Please fill out the form below to have an expert contact you to explain the best options for you.

Please fill out the form below.

New Applicant Information

First Name*

Middle Name

Last Name*

Suffix

Date of birth*

Email Address*

Password*

SSN/Social Insurance # for Canadians

Amount of initial sale/transaction*

Home Phone*

Business/Work Phone*

Cell/Other Phone*

Current Home Street Address, where your new massage chair will be shipped to.*

Apartment

City*

State*

Zip*

Housing Status* Own Rent Other

Monthly Net Income*

Applicant ID Verification Information

Primary ID Type*

Issuing State*

Exp. Date*

Secondary ID Credit Type*

Issuer*

Exp. Date*

Product

Joint Application

Do you have joint application ? Yes No

First Name*

Middle Name

Last Name*

Suffix

Date of birth*

Email Address*

SSN*

Amount of initial sale/transaction*

Home Phone*

Business/Work Phone*

Cell/Other Phone*

Current Home Street Address*

Apartment

City*

State*

Zip*

Housing Status* Own Rent Other

Monthly Net Income*

Applicant ID Verification Information

Primary ID Type*

Issuing State*

Exp. Date*

Secondary ID Credit Type*

Issuer*

Exp. Date*

Your Signature

Reset

Joint Application Signature

Reset

I agree to the Medical BreakThrough Terms & Conditions. If you are approved, you'll get your new massage chair in less than 2 weeks.

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