Step 1 of 3 33% Consent*Please be advised that if you use a credit or debit card for a payment and there is a cancellation, processing fees calculated at 3% of the original charge will be deducted from the amount of your refund. I understand and accept.* This field is hidden when viewing the formLocation*I am a:* New Customer Existing Customer Buyer 1 (as noted on contract)* First Last Buyer 2 (as noted on contract) First Last Phone*Email* Sales Person* Amount* Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name * Billing address must match address on file with credit card company.Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Privacy & Security Policy Champion Homes Center takes your privacy seriously. Please read the following to learn more about our privacy policy. This privacy policy may be updated from time to time so please check back periodically. 1. What does this privacy policy cover? This privacy policy covers how Champion Homes Center treats personally identifiable information such as i) first and last name; (ii) a home or other physical address; (iii) an email address; (iv) a telephone number; (v) a social security or social insurance number; (vi) any other identifier that permits the physical or online contacting of a specific individual; and/or (vii) information concerning a user that the Operator collects online from the user and combines with any of the identifiers described above. This privacy policy does not apply to the practice of other companies not under the control of Champion Homes Center. Champion Homes Center assumes no responsibility for information or statements you may encounter on the Internet not under the control of Champion Homes Center. 2. What information does Champion Homes Center collect? When you fill in an online inquiry form, we ask for information such as your first and last name, address, city, state/province, zipcode/postalcode, telephone number, fax number, email address, sales person’s first name, and transaction amount. Champion Homes Center’ web server automatically receives and records information on our server logs from your browser, including your ip address and the page you request. 3. What are “cookies” and how does Champion Homes Center use them? In addition to the above mentioned information that Champion Homes Center collects, some of our sites may collect information using cookies. Cookies play an important role in making Champion Homes Center’ websites function properly, but there is much confusion about what cookies are and how they are used. A cookie is a small text file containing a unique identification number that is transferred from Champion Homes Center’ websites to the hard drive of your computer so that we may identify you and your activities on Champion Homes Center for that session. A session is a predefined period of time the cookie is valid. Once that session is expired, the cookie is no longer valid. For example, to help serve you better, Champion Homes Center website generally uses cookies to help process orders. Without cookies, it could be difficult for the Champion Homes Center’ website to keep track of the payment details during the checkout process. The use of cookies is an industry standard, and you will find them used on most major web sites. Most browsers are initially set up to accept cookies. If you prefer, you can reset your browser either to notify you when you have received a cookie, or to refuse to accept cookies. You should understand that while Champion Homes Center does not require you to use cookies, certain functions may not work properly if you set your browser to not accept cookies. 4. How does Champion Homes Center use the information? Champion Homes Center uses the aggregate data to perform statistical analysis of the collective characteristics and behavior of our registered users and visitors, to measure user demographics and interests regarding specific areas of Champion Homes Center’ websites and to analyze how and where best to use our resources. Without such data, we would not know what the most popular areas of Champion Homes Center website are, and we would not be able to change and update the content and services appropriately. Champion Homes Center may, from time to time, use your personally identifiable information to contact you about changes or enhancements to Products and Services on Champion Homes Center’ websites. We will also ask you to provide certain personally identifiable information to us when you send e-mail communications to us from this website. For example, when you request to contact Champion Homes Center, we will ask you to provide your name, phone number and e-mail address. Champion Homes Center may use the information provided by you to deliver text or SMS messages for communication purposes in relation to manufactured home transactions. You may request to opt out of receiving text or SMS messages at any time. We will maintain a record of your information so we can provide you with these and other account services. Champion Homes Center may be required by law enforcement or judicial authorities to provide information on individual users to the appropriate governmental authorities. In matters involving a danger to personal or public safety, Champion Homes Center may voluntarily provide information to appropriate governmental authorities. It is the Corporate policy of Champion Homes Center not to rent, sell, share, trade or otherwise divulge its customer list to any outside firm, without permission from you. If you believe you are being contacted by any firm outside of Champion Homes Center, using information you have provided to us, please do not hesitate to contact us immediately. 5. What types of security procedures are in place to protect against the loss, misuse or alteration of your information? Champion Homes Center’ web server is located in a physically and electronically secured data center monitored by security guards. Any personally identifiable information you provide to Champion Homes Center when submitting an online form for inquiries or registering for Products and Services at any of Champion Homes Center’ websites is maintained and accessible only by Champion Homes Center’ employees who we believe reasonably need to come into contact with that information to provide products or services to you or in order to do their jobs, unless specifically stated otherwise. Champion Homes Center’ Payment Pages encrypt all personal data you submit (including your credit card number, billing, and shipping information) and passed through “secure transaction servers.” Champion Homes Center accomplishes this through technology provided by Starfield Technologies, Inc. 6. Refund Policy If this is your initial down payment, you may have received or should expect to receive a hard copy of our mutual Purchase Agreement (herein after referred to as “Agreement”). The Agreement is the prevailing document in our refund policy and supersedes any prior written or verbal communications regarding your home purchase. Once the Agreement is executed, with an authorization to construct your home, all down payments and/or deposits are non-refundable. In the event that you are utilizing this online payment option to make a payment against a prior executed agreement, then the agreement is the prevailing document with regards to refunds. There are no exchanges, returns or refunds on any fully executed agreement with an authorization to construct the home. In the event that you have not signed an agreement and wish to cancel, your down payment is fully refundable within 30 days of the initial down payment. If you use a credit card for a payment and there is a cancellation, the credit card company transaction fee will be deducted from the amount of your refund. 7. Shipping Terms FOB –Origin. You are responsible for the freight charges from the point of origin to your designated destination. The charges will be estimated at the time the written agreement is prepared by your sales agent. Once you receive the written agreement, you will have a chance to review the estimated freight charges and ask any questions about the pricing. Please understand that unless otherwise stated, the quoted freight price is estimated for the current date and may not reflect fluctuating fuel surcharges, Department of Transportation construction re-routing, highway patrol escorts, or unique complicated placements based on terrain of the delivery site. All questions regarding this statement should be directed to: privacy@factoryexpohomes.com Champion Homes Center reserves the right to change its privacy policy without notice to the individual user of, or visitor to, Champion Homes Center’s Web sites. This privacy policy is effective September 1, 2008. 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