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1Choose the Type of Account Application
Type of Application (Check One):
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* Field is required.
2Individual Applicant Information
Billing Address is the same as the Mailing Address:
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2aCo-Applicant Information
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3Individual Applicant Employer Information
3aCo Applicant Employer Information
4Individual Applicant Bank Information
5Individual Applicant References
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6Previous Store Credit
Has Applicant (Co-Applicant) ever been extended credit through any Johnny's Discount Furniture - Harrisburg, PA Store?');?>:*  
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If Yes, Which Store?
7Disclaimer and Signature

By clicking “SUBMIT” I acknowledge that I am signing this application electronically, and that my signature is the legal equivalent of my written signature on the application. I consent to be bound by the terms and conditions and important disclosures of the application. I also acknowledge that the information I have provided may be submitted to any of the following companies; Synchrony Finance, Mariner Finance, Regency Finance, Lendmark Finance, Progressive Finance, Simple Finance, Merchants Preferred Finance, Bristlecone Finance, Crest Finance, Tempoe Finance; hereafter known as the Finance Company. I also acknowledge that by clicking submit that I understand that the listed Finance companies comprise (1) conventional financing with interest deferred options and monthly payments up to 48 months (2)Secondary Lease-Purchase Finance Companies with 90 day same-as-cash options and payments up to 12 months.

I hereby: (1)Certify that all information I have provided is true, correct and complete; (2) Consent to receive the disclosures contained in the application electronically; (3)Consent to the Finance Company contacting any person or company listed on my application to obtain information about me and fully release all parties from any claim that may arise out of such contact; (4) Authorize the Finance Company to charge any credit or debit card in the amount of my initial payment only if my application is approved and I have provided the Finance Company Credit or Debit card information and I execute a Lease-Purchase agreement with the Finance company authorizing such da charge; (5) Agree that the Finance Company may obtain one or more consumer reports and or credit reports in connection with either (a)my application, (b) any updates, renewals, or extensions of any transaction resulting from my application, (c) the review or collection of any Transaction and (d)other legitimate business purposes related to any Transaction; (6) Understand that upon my request (a) I will be informed whether the Finance company obtained consumer reports and, if so, the name and address of the individual or company that furnished the Consumer reports; (7) Authorize the Finance Company to share information with the Johnnys Discount Furniture (Dealer) whose goods I am interested in leasing or purchasing about the Finance companies decision to offer me a rent to own transaction or a purchase transaction, and authorize the Finance company to share my application information and lease terms with the Dealer; (8) Authorize the Finance company to contact me for marketing purposes using the information I have provided in my application; and (9) understand that I can withdraw my consent by closing this web session without submitting my application.

Important information about opening a new account:  To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions obtain, verify and record information that identifies each person who opens an account.  This means that when you open an account we will ask for your name, address, date of birth and other information that will allow us to identify you.  We may also ask to see your drivers license or other identifying documents.

 
(By typing your name in this box, you are Legally signing this Document)
(By typing your name in this box, you are Legally signing this Document)
8Select the Closest Store to Your Location