All applicants are approved for at least one payment plan option.

 

First Name is required Please Provide a valid First Name
Last Name is required Please Provide a valid Last Name

 


 

SSN is required Invalid SSN*
Date of Birth is required Invalid Date of Birth
Email is required Invalid Email

 

 

The email address must belong to the Applicant completing this section. You agree that we may use this Email address to send and respond to messages related to your account, as well as information about our products/services and promotions. You understand that email is not a secure means of communication and agree that we are not responsible for any misdirection, interception, or other disclosure of the contents of an email property addressed to you. As we are unable to guarantee the confidentiality of emails, please do not include private or confidential information. If you would like to opt out, contact us at optout@greenskycredit.com.

 


 

Mobile Number is required Invalid Phone Number
If you do not have a mobile then enter an alternative number. If you provide a mobile phone number, you authorize any financial institution that makes a GreenSky® loan to you and its agents, contractors, successors, assigns, or service providers to contact you at this mobile number, and any future number that you provide for your cellular telephone or other wireless device, by phone or text message using automated telephone dialing system or artificial or prerecorded voice messages, for any legal purpose, including, but not limited to, servicing a loan. You may revoke your consent at any time by contacting us at 1-866-936-0602 or P.O. Box 29429, Atlanta, GA 30359.


Invalid Phone Number If you provide a mobile phone number, you authorize any financial institution that makes a GreenSky® loan to you and its agents, contractors, successors, assigns, or service providers to contact you at this mobile number, and any future number that you provide for your cellular telephone or other wireless device, by phone or text message using automated telephone dialing system or artificial or prerecorded voice messages, for any legal purpose, including, but not limited to, servicing a loan. You may revoke your consent at any time by contacting us at 1-866-936-0602 or P.O. Box 29429, Atlanta, GA 30359.

 

Don’t worry, this won’t affect your credit score.

 

If you do not have a mobile then enter an alternative number. If you provide a mobile phone number, you authorize any financial institution that makes a GreenSky® loan to you and its agents, contractors, successors, assigns, or service providers to contact you at this mobile number, and any future number that you provide for your cellular telephone or other wireless device, by phone or text message using automated telephone dialing system or artificial or prerecorded voice messages, for any legal purpose, including, but not limited to, servicing a loan. You may revoke your consent at any time by contacting us at 1-866-936-0602 or P.O. Box 29429, Atlanta, GA 30359.

 

If you provide a mobile phone number, you authorize any financial institution that makes a GreenSky® loan to you and its agents, contractors, successors, assigns, or service providers to contact you at this mobile number, and any future number that you provide for your cellular telephone or other wireless device, by phone or text message using automated telephone dialing system or artificial or prerecorded voice messages, for any legal purpose, including, but not limited to, servicing a loan. You may revoke your consent at any time by contacting us at 1-866-936-0602 or P.O. Box 29429, Atlanta, GA 30359.

 

Street Address is required

 

Zipcode is required Invalid Zipcode
City is required

 

$
Gross Income is required

 

Income: Annual salary (before taxes), alimony, child support, investment income, social security, etc. NOTE: Alimony, child support, or separate maintenance payments need not be revealed if you do not wish to have them considered as a basis for repaying your loan. Married Wisconsin Residents: Combine spouse and your income information once.

 

Please Select a Location

  • You consent by electronic signature to be contacted by Milan Laser by live agent, email & automatic telephone dialer for information, offers or advertisements via email/ phone call/ text message at the number & email provided. No purchase necessary.
  • You are providing ‘written instructions’ to the GreenSky® Program under the Fair Credit Reporting Act authorizing the GreenSky® Program to obtain information from your personal credit profile or other information from Experian. You authorize the GreenSky® Program to obtain such information solely to conduct a pre-qualification for credit. GreenSky® may share the pre-qualification decision with your Healthcare Provider.
  • You have read, understand, and accept GreenSky’s Terms of Use, and GreenSky’s Privacy Notice and GreenSky’s Consent to Electronic Records and Communication.
  • When you check your rate and review loan offers, a soft inquiry will be performed on your credit report, which won’t impact your credit score. Soft inquiries can only be seen by you. When you accept a loan offer and submit it for review, a hard inquiry will be performed, which may impact your credit score and can be viewed by third parties.
  • This pre-qualification service is provided by the GreenSky Patient Solutions® Program to you and not on behalf of Milan Laser. The GreenSky Patient Solutions® Program will protect the confidentiality of your information in accordance with its Privacy Policies but it is not required to comply with the Health Insurance Portability and Accountability Act. Milan Laser will not condition your treatment and/or services on whether you submit this preq-ualification application. You may revoke authorization by notifying Milan Laser and the GreenSky Patient Solutions®Program in writing; however, any actions already taken in reliance on this authorization cannot be reversed, and your revocation will not affect those actions.

This application will not affect your credit score at all.

Please correct the above errors.





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