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Complete Employment & References

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Secure Form

Contact Information

First Name*

Last Name*

Phone Number* Why do we ask this?

Phone Type

Email Address* Why do we ask this?

Verify Email Address*

Toggle checkbox, Send me specials and offers by email. Yes! Send me specials and offers by email.

Preferred Contact Time*

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Delivery Address*

Apartment #

City*

State*

Zip Code*

FCRAOptIn

You understand that by clicking on the SUBMIT button immediately following this notice, you are providing written instructions to Get-It-Now, LLC d/b/a Home Choice (“Home Choice”) under the Fair Credit Reporting Act authorizing Home Choice to obtain information about you from credit reporting agencies (including but not limited to Experian, Clarity, Equifax, and TransUnion ) or others, including your creditors and other third parties, (1) in connection with this transaction for the purpose of evaluating your rental purchase application, to confirm your identity, and to avoid fraudulent transactions, and (2) at any time and use that information for the purposes of (a) considering you for new offers, programs, and services that Home Choice, its affiliates, or third parties may offer in the future, and (b) for marketing such programs to you.

Toggle checkbox, demo link.

By checking this box you agree Home Choice and its agents may deliver marketing sales calls and text messages regarding Home Choice goods, services or offers to you at the telephone number provided using an automated system for the selection or dialing of telephone numbers. You understand that you are not required to consent to marketing calls and text messages in order to obtain goods or services from Home Choice or open a Home Choice account. If you do not consent, Home Choice may still send you text messages regarding important account information, such as transaction details or servicing information. By checking this box you certify that you are authorized to provide this consent.

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Employment & References

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

Employment Information

Why do we ask this?

Source of Income

Employer Name

Employer Phone Number

How long with this company?

Monthly Take-Home Pay Round to the nearest whole dollars amount

References

Why do we ask this?

Reference One

First Name

Last Name

Relationship

Phone Number

Reference Two

First Name

Last Name

Relationship

Phone Number

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Employment Information

References

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Reference Two

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Employment Information

References

Reference One

Reference Two

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