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Information and requirments:
(Proof of income, residency verification, 5 local references minimum of 2 family, Valid ID with your current address.)
Pick a Store*
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Alma Location #0707
Alpena Location #0303
Bad Axe Location #0505
Bay City Location #0101
Big Rapids Location #2626
Cadillac Location #2323
Caro Location #2121
Charlotte Location #1313
Cheboygan Location #2020
Clare Location #0808
Fremont Location #2222
Gaylord Location #0909
Grand Rapids Location #3030
Grayling Location #0404
Houghton Lake Location #1818
Ionia Location #1919
Lapeer Location #0606
Manistee Location #1111
Oscoda Location #1414
Owosso Location #1212
Port Huron Location #2828
Sandusky Location #1515
Wayland Location #2525
West Branch Location #0202
Housing and Personal Information
Income
How Long There?*
-
Less than 3 months
Between 3 and 6 months
Between 6 and 12 months
Between 1 and 2 years
Over 2 years
How Often Paid?*
-
Weekly
Biweekly
Semi Monthly
Monthly
Other
Type of Income*
-
Full Time Employment
Part Time Employment
SSI
Self Employed
Other
Source of Additional Income
How Often Paid?
-
Weekly
Biweekly
Semi Monthly
Monthly
Other
Temporary Income
Yes
No
How Long There?
-
Less than 3 months
Between 3 and 6 months
Between 6 and 12 months
Between 1 and 2 years
Over 2 years
Housing Information
Type of Residence*
-
Rent without Lease
Rent with Lease
Land Contract
Mortgage
Own Home
Vehicle Information
Co-renter Information
Co-renters Source of Income
How Long There?
-
Less than 3 months
Between 3 and 6 months
Between 6 and 12 months
Between 1 and 2 years
Over 2 years
How Often Paid?
-
Weekly
Biweekly
Semi Monthly
Monthly
Other
Type of Income
-
Full Time Employment
Part Time Employment
SSI
Self Employed
Other
References A total of 5 references, Minimum of 2 Family please.
What product(s) are you Interested In?
How did you hear about us?
Please pick one*
TV Commercial
Phone Book
Door Hanger
Online Web Search
Radio Commercial
Drove By
Flier in the Mail
Continental Employee
Newspaper
Referred
Website
Social Media
Other Info
Have you Rented to Own before?
Yes
No
Marital status*
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Single
In Relationship
Separated
Married
Divorced
How To Contact You
Phone
Text
Email
Best Time To Contact
9am - 12pm
12pm - 5pm
After 5pm
- Thank you from the Continental Team -
Please read:*
I certify the information given by me on the form is true and correct. I authorize verification of the truthfulness of all information, including contact with any person or firm listed above and fully release all parties from all liability for any damage that may result. Any false statement made above shall be sufficient basis for rejection of this order
I agree
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