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Get Pre-Approved
With

With
National TV Sales & Rental

Preferred Store

Store

Renter Information

Renters First Name *

Renters Last Name *

Cell Phone *

Email Address *

Birth Date

Home Phone

Street Address *

City *

State *

Zip *

Renter Employer/Income

Renters Employer/Source of Income *

Address *

Phone *

Take Home pay *

Take home pay Amount *

Length of Employment *

Co-Renter Information

Co-Renters First Name

Co-Renters Last Name

Birth Date

Employer/Source of Income

Take home pay Amount

Personal References

Name *

Phone *

Relationship *

Name *

Phone *

Relationship *

Name *

Phone *

Relationship *

RELEASE OF INFORMATION TO National TV Sales And Rental: (PLEASE READ BEFORE SIGNING)

The Information I(we) have provided on this form is correct. I authorize confirmation of all information that I(we) have provided. National Sales & Rental may contact any person or company that is listed above, and I(we) fully release all parties from all liability from any damage that may result. My(our) Signature(s) below indicate that, for the purpose of confirmation, I(we) have voluntarily waived the protection of all rights to privacy laws. I also agree to accept messages from National Sales & Rental regarding special sales or product offers via US mail, voice, email or text, and understand that I may opt-out at any time. This order may be rejected if any information provided above is found to be false.

FOR RENTER
I am applying for rental, and am over 18 years of age.

FOR CO-RENTER
I am applying for rental, and am over 18 years of age.

Please Respond to the Following Question and Prove You're A Human

*Offer valid on pre-rented merchandise only. Includes 3 months off 12-month agreements and 6 months off 18-month agreements. Some restrictions may apply. Pictures for illustration only. Models and styles may vary by location. Merchandise may be new or previously rented. This is a rental-purchase agreement. Rates, terms, and fees may vary. Example: $69.99/mo for 18 months = $1,259.82 plus tax and optional fees. No ownership rights are acquired until total cost is paid or early purchase option is exercised. $10 pays first week plus applicable taxes and processing fees; regular weekly pricing applies after promotional period. While supplies last. See store for details. Offer expires February 28, 2026. © 2026 National TV Sales & Rental

Get Pre-Approved With With National TV Sales & Rental

Preferred Store

Renter Information

Renter Employer/Income

Co-Renter Information

Personal References

Get Pre-Approved
With

With
National TV Sales & Rental