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Home
About Us
About Us
Directors
History
FAQs
Members
Vendors
Retreat 2025
User Login
New Member Application
*
- Required Field
First Name *
Last Name *
Email *
Corporate Name *
Company Information
Trade Name/DBA *
Tax ID / EIN *
Date of Incorporation
Corporate Address *
Corporate City *
Corporate State *
Corporate Zip *
Telephone *
An alternate email to reach you
Fax
Number of Rental stores
Number of Retail stores
Principles
Name *
Title
Additional Principle
Title
Additional Principle
Title
Buying Representatives
Name
Name
Name
Franchisor
Credit References
Bank Name *
Address *
Phone *
Contact *
Bank Name
Address
Phone
Contact
Product Vendor *
Address *
Phone *
Contact *
Product Vendor
Address
Phone
Contact
Additional Information
What type of operating software do you use?
Rental-Related Income for the past 12 months *
Who provides your inventory financing?
Vendors from whom you currently purchase product *
Please list any other rental trade associations, buying groups or other industry organizations that you are a member of (this does not impact your application status): *
If you are a referral, who in the Rent-To-Own Industry referred you to us?
Digital Signature
Authorized by: *
By clicking submit, you certify that the information you have provided on the application is correct to the best of your knowledge.
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