What product would you like to rent to own?:
Size:
Any other products you would like to rent to own?:
Any additional products you would like to rent to own?:
Further description:
First Name:
Marital status:
Middle Name:
Phone (home):
Surname:
Phone (work):
Date of Birth
Phone (mob):
Email address:
Please provide at least one of the above phone numbers or email address so Rent to Own can contact you.
Current address:
Previous address:
Suburb:
PreviousSuburb:
State:
Postcode:
Current Address Period:
Previous Address Period:
Photo ID Type:
ID Number:
Referee: Name
Address:
Relationship:
Contact Phone:
Mobile Contact:
Postcode
I agree to provide Rent to Own with a copy of my photo identification (e.g. driver's license): Yes No
Occupation:
Employer:
Employers Phone Number:
Pension Details:
Pension no:
Pension type: Parenting Payment Family Tax Benefit Disability Support Newstart Carers Age Widows Abstudy Austudy Other
I hereby declare that the above information is true and correct, that I am over the age of 18 years and that I am not an un discharged bankrupt: yes
I also hereby give Rent to Own permission to do a Credit Check and the relevant details I have submitted in this application: Yes
Please select your preferred method of contact: Phone (home) Phone (work) Phone (mobile) Email
Rent to Own will promptly assess your application and will be in contact with you shortly to assist you further with your rental application.
Disclaimer : Not all products featured available at every store contact your closest store for prices and availability.
