Application Form

Fields marked with an * are required

White Goods

Audio and Visual

Furniture and Bedding

Please type in what you need:


Personal Details

Contact Details

Residential Address

Residential Status

Residence Type

Residence Status

Postal Address

Landlord/Bond Holder

Spouse/Partner's Details (If Applicable)

Your Employment Details

Bank Details

I/We hereby instruct and authorise you to draw against My/Our Current/Transmission/Savings account with the under-mentioned bank all amounts which are due and payable by me in Rental Plus' standard terms and conditions.

Personal Reference (Family Members)

1st Reference
2nd Reference

Looking for a product not listed?

Please send the following documents to

Fax: 086 646 8529


Most recent payslip, Copy of ID, Last 3 months bank statements.