Your OPTIMUS ID Missing

You will be unable to submit the application without your installer's OPTIMUS ID. Please contact your installer to be resent the correct link.

What Equipment are you Purchasing?

Where is the Equipment Being Installed?

Company Ownership

Where are you Purchasing the Equipment From?

By clicking the "SUBMIT" button below, I/we hereby authorize the release of any and all credit information from the above listed references, and certify that all is true and correct to the best of my/our knowledge. The listed individual(s), recognizing that his/her/their individual credit histories may be a factor in the evaluation of the credit applicant, hereby consent(s) to and authorizes(s) the credit provider to obtain and use a consumer credit report on the listed individuals, now and from time to time, as may be needed in the credit evaluation and review process and waives any right or claim they would otherwise have under the Fair Credit Reporting Act in the absence of this continuing consent.