Credit Application

Please fill out the information below to submit your Credit Application.

First Name *

Last Name *

Current Address *

Apt/Suite#

City *

State *

Zipcode *

Country *

Date Of Birth *

SSN *

Driver's License No *

Email Address *

Phone Number *

Employer Name *

Employer Contact Number *

How Long at Job? *

I authorize Charter Furniture Rental to process my application through a credit reporting agency for the sole purpose of obtaining rental furniture