5 POINT RENTALS  APPLICATION

Please Print out the form below. Bring the completed form to 3840 Broadway, Rockford, IL. (2 Blocks West of Alpine on Broadway. Across from the BP Gas Station.) You may fax the application. Your application fee must be received before we can process your request.  Single/Married Fee $25.00  Joint Application $35.00 (Print out one form  for each applicant, fee still remains only $35.00 total)  Application fee is non-refundable. See Below.

 Phone: 1-800-786-0555 OR 815-399-5623   FAX: 815-399-5583

 

Please Call Our and We Can Fax/Email or Snail Mail You an Application

 
I