Rent-to-Own Terms & Conditions

Please review the Rent-to-Own Terms & Conditions, enter Customer Information and click "I AGREE" below before clicking to Submit the form. The current time, your IP address, and name will be saved as an electronic signature and a copy will be sent to the email address on file.

"*(Required)" indicates required fields

Customer Name*(Required)
Customer Delivery Address
Customer Mailing Address
Please upload a copy of Proof of Ownership or Occupancy of the property (valid lease agreement, a signed letter from landlord, utility bill, or other proof of ownership).
Drop files here or
Max. file size: 15 MB, Max. files: 3.
    Provide a clear photo of your state ID and a photo of you holding your ID for verification purposes
    Drop files here or
    Max. file size: 15 MB, Max. files: 3.
      INSURANCE: Renter must maintain, at its own expense, adequate property insurance covering the Storage Unit in an insured amount equivalent to $5,000 per Unit or 100% of the Replacement Value, whichever is greater, of all Equipment rented hereunder. Said insurance shall be maintained by Renter until all Equipment rented hereunder is redelivered to Get Simple Box.
      Insurance Company Name and Policy Number
      ALTERNATE CONTACT: Rent-to-Own Customer agrees to maintain a valid credit-card payment method on file and to provide Name, Phone, and Email address of another person who may be contacted regarding billing details, lien notices, and other subsequent notices.
      Alternate Contact Name*(Required)
      IP ADDRESS: 3.145.63.45
      DATE SIGNED: 11/18/2024

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