Create Your LutherCredit Account | Luther Appliance and Furniture

LUTHERCREDIT APPLICATION FORM

To help the government fight the funding of terrorism and money laundering activities, Federal law requires financial institutions to obtain, verify and record information that identifies each person who opens an account. What this means for you; When you fill out an application, we will ask you for your name, address, date of birth and other information that will allow us to identify you. We may also ask to see your driver�s license or other identifying documents. PATRIOT (8/03)

Why?

User Name:
Email:	Why? We will not share or sell your email address to 3rd party participants. Your email address will be used only for correspondence and marketing pertaining to LutherSales. You can opt-out from receiving LutherSales email marketing at any time.
Password:
Confirm Password:

If Bill To Address Different Click Here

First Name:
Middle Initial:	Optional
Last Name:
Address:
Apt#:
City:
State:
Zip Code:
Do You:	Own Rent Other
Monthly Housing Payment:	$ .OO
Phone Number:
Daytime Phone Number:
Social Security Number:	Your social security number will be used for credit extension purposes only. LutherSales uses Secure Sockets Layer (SSL for Secure Transmissions. Your information is encrypted with 128-bit encryption which is one of the highest levels available. Why?
Date of Birth: (mm/dd/yyyy)	Why?
Driver's License or State ID Number:	Why?
State of Issue:

Why?

Employment Status:
Employer's Name:
Employer's Phone:
Date of Hire: (mm/dd/yyyy)
Annual Salary:	$ .OO
Do You Have a Checking Account?	Yes No
Do You Have a Savings Account?	Yes No

RETAIL INSTALLMENT CREDIT AGREEMENT

Click here to read the terms and conditions (PDF Format)

I further understand that by agreeing to these terms, I will allow LutherSales to market to me electronically via email. By unclicking this box, I am stating that I do not wish to receive marketing material electronically via email. I have read all of the above and agree to these terms and conditions. I understand that the agreement is binding upon approval of the Luther Charge account. All terms and conditions are subject to final approval. To electronically sign your application, please type the text below into the box as it appears.

Signature: (case sensitive)
Suggestion: double click on the signature code above, right click to copy and paste into signature box

How did you hear about us?
Luther Representative:

All Other Inquiries Click Here.

Just how easy is it?

3-Minute Application
No Credit Card Required
Low Monthly Payments
Brand Names
Free Delivery

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"You guys were the only people willing to give me credit when I couldn’t get any."

“Thanks to Luther Sales I was able to get all the electronics that I wanted – a laptop and itouch. The hassle free automatic deduction makes it easy to make timely payments."

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First Name
Last Name:
Personal Email:
Phone Number:
Cell Phone Number:
Address:
City:
State:
Zip Code:
Social Security Number:
Date of Birth (mm/dd/yyyy):
Driver's License Number:
Driver's License State:
Mother's Maiden Name:
Homeowner:
Bank Name:
Monthly Payment:
Account Number:
Account Type:

Employment Status:
Gross Annual Salary:
Employer's Name:
Work Phone:
Employer's Address:
Employer's City:
Employer's State:
Employer's Zip:
Direct Work Phone:
Work Email:
Occupation:
Date of Hire(mm/dd/yyyy):
Time at Current Employment:
Worker's Union:

Co-Applicant Active Military Status
Current Military Status:
Monthly Base Salary:
Military Branch:
Military Rank:
S.C.D Date:
E.T.S. Date:

Buy Now Pay Later Furniture - Bad Credit Financing

LUTHERCREDIT APPLICATION FORM

Co-Applicant Billing Information

Co-Applicant Employment Status

Co-Applicant Active Military Status

Co-Applicant Closest Relative Reference

RETAIL INSTALLMENT CREDIT AGREEMENT

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First Name:
Email Address:
Address:
State/Province:
Zip/Postal Code:
Last Name:
Phone Number:
City:
Other State/Province: