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Customer Registration (Full)

Home / Customer Registration (Full)

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Names & Details of Registrants
Closest Rental City Store Location*
Your Name*
First Last
Your Birthdate*
YYYY slash MM slash DD
Your SIN #
Spouse or Co-Registrant?*
- YES
- NO
Would you like to enter a Spouse or Co-Registrant?
Spouse or Co-Registrant's Name*
First Last
Spouse or Co-Registrant's Birthdate*
YYYY slash MM slash DD
Spouse or Co-Registrant's SIN #
Relationship to You?*

What's the relationship of the spouse/co-registrant to you?

Phone Numbers & Auto Information
Phone Number*
Type of Phone
- Home Phone
- Message
- Text
Is the phone in your name?
- YES
- NO
The name the phone is under*
Cell or Other Phone Number
Do you have an automobile?*
- YES
- NO
Make & Model*
Colour*
Plate #*
Province Registered*
Province

Address Information
Current Address*
Street Address Address Line 2 City Province Postal Code
Current Landlord or Mortgage Company
Landlord/Mortgage Co. Phone Number
Monthly Payment Amount
Move-in Date
YYYY slash MM slash DD

The date you moved in to your residence.
Is the lease/mortgage in your name?*
- YES
- NO
Name of the person on the lease/mortgage*
Length of Lease*
Previous Address*
Street Address Address Line 2 City Province Postal Code
How long were you at your previous address?*
Previous Landlord's Name*
Previous Landlord's Phone Number*
Are the utilities in your name?*
- YES
- NO
Name of the person on the utilities*

Your Employment or Income Information
Place of Employment / Source of Income*
Position*
Length of Time With the Company*
Employer's Address*
Street Address Address Line 2 City Province Postal Code
Employer's Phone Number*
How Often Are You Paid?*
Day/Dates Paid*
Spouse or Co-Registrant's Employment or Income Information
Place of Employment / Source of Income*
Position*
Length of Time With the Company*
Employer's Address*
Street Address Address Line 2 City Province Postal Code
Employer's Phone Number*
How Often Are You Paid?*
Day/Dates Paid*

References
At least 2 should be relatives with a different address.
Family Member*
First Last
Phone*
Relationship*
Address
Street Address Address Line 2 City Province Postal Code
Family Member*
First Last
Phone*
Relationship*
Address
Street Address Address Line 2 City Province Postal Code
Other Reference*
First Last
Phone*
Relationship*
Address
Street Address Address Line 2 City Province Postal Code
Other Reference*
First Last
Phone*
Relationship*
Address
Street Address Address Line 2 City Province Postal Code

Final Details
Your Email Address*
Enter Email Confirm Email
Opt-In
- Account Related
- Specials / Product Tips / Newsletter
Our Email Policy & Your Authorization
We collect your email address to use for:
1. 1) Account related updates and communications
2. 2) We also would like to contact you from time to time to keep you up to date on tips, events, sales, and special news related to Rental City
By checking the opt-in boxes you are agreeing to accept email from our company as indicated above. You may opt out at any time by emailing info@rentalcity.ca or by notifying your store.

Your privacy is important to us and your email address will never be traded, shared or sold.

I/WE hereby declare that the information provided in this registration form is correct. I authorize Rental City to completely verify all information that I have provided. Rental City has my express authorization to contact any person, landlord, employer or credit reporting agency through the use of any information provided on this registration form from the time to time. This form is an application to rent and may be rejected if I fail to qualify or if any information I provided is found to be false.
Your Agreement to the Terms Above*
- I have read the terms above and AGREE.
Email
This field is for validation purposes and should be left unchanged.

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Central Office
885 Lansdowne St W
Peterborough, ON K9J 1Z8
Phone: 705-743-2004

Additional Information

Customer Registration (FULL)

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