Application Form

Please Apply Online Using The Form Below or Call 1300 888 109 to speak to one of our friendly, informed staff members.

ONLY SERVICING SYDNEY (AND SURROUNDING SUBURBS), SOUTH AND CENTRAL COASTS

Please fill in this form and click SUBMIT. Our friendly staff will get back to you as soon as they can.
Given Names* (*)
Family Name * (*)
Date of Birth * DD/MM/YYYY (*)
Email Address * (*)
Phone * (*)
Mobile Phone
Fax
Current Address * (*)
Suburb * (*)
Post Code * (*)
Years at Current Address (*)
Months at Current Address
Weeks at Current Address
Your home status.. Are you...
Checkboxes (*) Renting Mortgage Owner Boarding
If Renting or Boarding:
Landlord Name or N/A (Not Applicable) (*)
Landlord Address and Contact # (*)
Previous address if not at current address for at least 2 years
Previous Address
Suburb
Post Code

To Process Your Credit Check and Verify Your Identity Please Provide A Form Of Identification

Identification Type
If Driver's Licence include State of Issue like: NSW-567843VB
Licence State and Number
Please Upload Identification

Employment/Income Details

I am currently employed (*) YesNo
Name of Employer or N/A (Not Applicable) (*)
Employer Address, Contact #, and Length of Employment (*)
Government Benefits YesNo

Please Provide Name, Address, Phone Number & Relation To You Of A Reference Whom You Have Regular Contact With - They Cannot Live With You or Each Other.

Reference 1: (*)
Reference 2: (*)
Reference 3: (*)
Best Time to Contact You
Products youre interested in and other information :: (*)
How did you hear about us?
Agree to a Credit Check? (*) YesNo
I/we consent to the rental company obtaining personal information from individuals and entities we have provided in respect of this rental agreement
By clicking 'Submit' you agree to our Terms and Conditions listed on this web site. Privacy Consent Authority (*) YesNo
Are details above correct? (*) YesNo
Do you agree to receive marketing emails from RentBuy Appliances at the email address provided? (*) YesNo
Captcha
By clicking Submit button you agree to our Terms and Conditions listed on this web site.

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