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1Choose the Type of Account Application
Type of Application (Check One):
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* Field is required.
2Individual Applicant Information
Billing Address is the same as the Mailing Address:
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2aCo-Applicant Information
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3Individual Applicant Employer Information
3aCo Applicant Employer Information
4Individual Applicant Bank Information
5Individual Applicant References
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6Previous Store Credit
Has Applicant (Co-Applicant) ever been extended credit through any Brian's Furniture - Corbin, KY Store?');?>:*  
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If Yes, Which Store?
7Disclaimer and Signature
(By typing your name in this box, you are Legally signing this Document)
(By typing your name in this box, you are Legally signing this Document)
8Select the Closest Store to Your Location