RENT-TO-OWN & CASH PURCHASE PROGRAM

AISBOX Application Form

Complete the application form below. Our Sales Team will review your application and contact you within one business day.

Purchase Method *

Choose how you'd like to acquire your AISBOX machine.

Fields marked with * are required.

Company Name*Company Registration Number (SSM / ROC)*Contact Person*Mobile Number*Email Address*Business Type*

Business Address*

State*Average Daily Ice Usage*Preferred Machine*

Additional Notes

I understand that all details submitted in this application are true and accurate.

I have read and agree to the Terms & Privacy Notice. *

AISBOX is committed to protecting your personal and business information.

All information submitted through this application will be treated as strictly confidential and used only to process your Rent-To-Own application.

Your information will only be shared with AISBOX and our authorised financing partners where necessary to evaluate and process your application.

We will never sell, distribute or disclose your information to any unrelated third party without your consent, unless required by law.

By submitting this application, you acknowledge and agree to the collection, processing and use of your information for the purposes stated above.