Business Credit Application

Here is our business credit application to download.

You can email your completed application to
corporaterentals@centralrent2own.com

1 Start 2 Agreement 3 Complete

Applicant Information

Legal Name

Billing Address

Billing City, State, Zip

Tax ID Number

Phone Number

Fax Number

Number of Years in Business

Contact Person

Position or Title

Vendor References

Reference #1

Company Name

City, State

Contact Name

Phone Number

Reference #2

Company Name

City, State

Contact Name

Phone Number

Payment Information

Payment Type

Invoice

MasterCard

Visa

Invoice Email

Credit Card Information if Paying by Credit Card

Name (As it appears on card)

Billing City, State, Zip

Billing Address

Expiration Date on Card

I hereby authorize Central Rent to Own to charge my credit card indicated above for current and future charges pertaining our furniture rental agreement(s). This authorization continues until all agreements have been returned and all balances are at zero. Should any additional agreements be added this permission will once again be in effect.

Type Signature

Current Date

Delivery Information

Address and/or Apartment Number

City, State, Zip

Name of Complex or Management Company (if applicable)

Contact at Complex (if applicable)

Delivery Date

Deliver Prior to Arrival?

Yes

Key Release has Been Sent?

Yes

Signature

Type Signature

Tax ID Number

Corporate Mega: Furnishing Packages

Corporate Mega: Housewares Packages

Business Credit Application

Here is our business credit application to download.

Business Credit Application

Hubspot