Corporate Credit Application

Please complete this application to setup your business account. Once your business is approved and your account is established, a Furniture Rentals, Inc. representative will contact you.

Name of Person Submitting this Application *

Phone Number of Person Submitting this Application *

Email Address of Person Submitting this Application *

Phone *

Fax *

Name of Company *

Billing Address *

Corporate Officers *

Please enter 1 corporate officer's name & title per line.

Type of Business *

Date Business Started *

Month

Day

Year

Date of Incorporation *

Month

Day

Year

Credit Amount Desired $

Accounts Payable Contact Information *

Federal ID# *

Person(s) Authorized to Sign Contracts *

Please enter 1 name per line.

Credit References *

Please include name/contact, address, telephone and fax number for each reference.

Reference 1 *

Reference 2

Reference 3

Reference 4

Bank Reference

Bank Name *

Bank Address *

Upload a Document

Use this field to upload any documents / credit information.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.

Additional Information

Please use this area if you have any questions, comments, notes or references.

Attachment	Size
PDF Version	435.15 KB

Corporate Credit Application

Serving the Southeast from Augusta, GA