Lease-to-Own Applications
For assistance, please contact LTO@pingholdings.com
Sales Representative:
PRODUCTS INTERESTED IN:
*
ACIMA LTO
PROGRESSIVE LTO
Are you a new/existing Acima Dealer?
Please Select
New, I'd like to apply
Existing
Please provide your Acima Merchant ID or write "I don't have it"
Are you a new/exiting Progressive Dealer?
Please Select
New, I'd like to apply
Existing
Please provide your Progressive Merchant ID or write "I don't have it"
OWNER INFORMATION:
Please add information for all owners
PRIMARY OWNER NAME:
*
PRIMARY OWNER EMAIL ADDRESS:
*
PRIMARY OWNER PHONE NUMBER:
*
BUSINESS INFORMATION:
LEGAL BUSINESS NAME:
*
BUSINESS DBA (DOING BUSINESS AS):
*
Tax ID Number (EIN)
Number of Locations
*
Please Select
1
2
3
4
5
6+
If you have more than 5 locations to sign up for Lease To Own products, please reach out to us at LTO@pingholdings.com so we can make the sign up process easier for you.
Location 1 Additional Information
LOCATION 1 - STORE ADDRESS:
*
Street Address
Street Address 2
City
State / Province
Postal / Zip Code
Void Check Picture - Location 1
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Sales Tax Permit - Location 1
Browse Files
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of
Interior Store Picture - Location 1
Browse Files
Drag and drop files here
Choose a file
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of
Exterior Store Picture - Location 1
Browse Files
Drag and drop files here
Choose a file
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of
Inventory Picture - Location 1
Browse Files
Drag and drop files here
Choose a file
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of
Location 2 Additional Information
LOCATION 2 - STORE ADDRESS:
*
Street Address
Street Address 2
City
State / Province
Postal / Zip Code
Void Check Picture - Location 2
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Sales Tax Permit - Location 2
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Interior Store Picture - Location 2
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Exterior Store Picture - Location 2
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Inventory Picture - Location 2
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Location 3 Additional Information
LOCATION 3 - STORE ADDRESS:
*
Street Address
Street Address 2
City
State / Province
Postal / Zip Code
Void Check Picture - Location 3
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Sales Tax Permit - Location 3
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Interior Store Picture - Location 3
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Exterior Store Picture - Location 3
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Inventory Picture - Location 3
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Location 4 Additional Information
LOCATION 4 - STORE ADDRESS:
*
Street Address
Street Address 2
City
State / Province
Postal / Zip Code
Void Check Picture - Location 4
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Sales Tax Permit - Location 4
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Interior Store Picture - Location 4
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Exterior Store Picture - Location 4
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Inventory Picture - Location 4
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Location 5 Additional Information
LOCATION 5 - STORE ADDRESS:
*
Street Address
Street Address 2
City
State / Province
Postal / Zip Code
Void Check Picture - Location 5
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Sales Tax Permit - Location 5
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Interior Store Picture - Location 5
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Exterior Store Picture - Location 5
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Inventory Picture - Location 5
Browse Files
Drag and drop files here
Choose a file
Cancel
of
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*
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