Glamis Dunes Storage Customer Form

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Step 1 of 2

Company

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Quick Application and Credit Card Authorization

Date*

Move-In Date*

Customer Name*

First Last

Contact Number*

Cell Phone#

Address*

Street Address Address Line 2 City State Zip Code

Email*

Driver's License*

Birth Date*

How did you hear about us?

Vehicle Make*

Vehicle Model*

Vehicle Year*

Vehicle Plate*

Registration Exp*

Insurance Company*

Policy Exp*

Space Size

Vehicle Year

Vehicle Plate

Registration Exp

Space Size

Package Sand Sports Super Show

Season Special

Months Interested In