Skip to main content

This Site is under DEVELOPMENT

USE CODE PENNYDOWN AT CHECKOUT

How it Works

It's easy, quick and secure.

  1. Complete contact information.
  2. Complete employment and reference information to save time at the store.
  3. Visit your store and schedule delivery.

Your store location:

Please select your Home Choice store to submit your order.

Complete Contact Information
Complete Employment & References
Finalize Agreement In Store
* Required
Secure Form
Contact Information
Why do we ask this?
Why do we ask this?
Just want your store to contact you?
Submit Contact Information

Employment & References

Thank You! Your contact information has been submitted. View your confirmation page.

Now save time in the store!
Provide employment and reference information to complete your application.

Employment Information

Why do we ask this?
Round to the nearest whole dollars amount

References

Why do we ask this?
Reference One
Reference Two