New Customer Lease Application

Please Select the Type of Appliance(s) You Are Applying For
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I certify that the information furnished on this application is true to the best of my knowledge and belief. Authorization is hereby given to AWHR America's Water Heater Rentals, LLC. and/or any related business entity to contact recognized credit bureaus in order to secure credit information they may have pertaining to my credit paying habits, and further, to verify information furnished on this application.
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