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Credit Application

This information will be submitted through a secure connection.

Note: Captain Ed's is only licensed to offer rent-to-own in Indiana and will only rent-to-own merchandise within a 15 mile radius of the store. This application should not be construed as an invitation to apply for rent-to-own except in Indiana and within our service area. Captain Ed's only offers rent-to-own on accounts that are $20 or more per week. Items less than $20 per week can be combined to reach the $20 minimum.

Any applications submitted after 5pm on Fridays will not be reviewed until the following Monday morning.

(*Denotes Required Information)

By submitting this application, you will have the right to use the account if credit is granted. Your signature will be required on the Credit and Sales documentation. You will be liable for all amounts due on the account and you may be responsible for full payment on the account.

Applicant must type their name in box below to serve as digital signature.

I agree with the terms and conditions above and wish to proceed with filing the application.