Home
Services
RV Prep Service
All Delivery & Service Requests
Water
Propane
Dump
Gas
Maid Service
Rates
Why Us?
Site Tour
Gallery
Policies
Contact Us
Storage Application
Payment Authorization
Pay Online Now
Checkout
Product
has been added to your cart.
Glamis Dunes Storage Customer Form
Step
1
of
2
50%
Customer Information
Quick Application and Credit Card Authorization
Date
*
MM slash DD slash YYYY
Move-In Date
*
MM slash DD slash YYYY
Customer Name
*
First
Last
Contact Number
*
Cell Phone #
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
*
Driver's License
*
Birth Date
*
MM slash DD slash YYYY
How did you hear about us?
Vehicle Information
Vehicle Make
*
Vehicle Model
*
Vehicle Year
*
Vehicle Plate
*
Registration Exp
*
Insurance Company
*
Policy Exp
*
Space Size
2nd Vehicle *if applicable
Vehicle Year
Vehicle Plate
Registration Exp
Glamis Dunes Storage - Season Pass (October 2018 - May 2019)
Space Size
Package Sand Sports Super Show
Season Special
Months Interested In
Payment Information
I hereby authorize Glamis Dunes Storage Inc. to charge my:
Charge my card for these many times
*
and for these many months
*
For a total charge of
*
Card Holder Name
*
Billing Zipcode
*
Card Number
*
Expiration Date
*
CID
*
Pay by Check: Please fax application and mail hard copy with check enclosed.
By separate part this Quick Application becomes a legal and binding document to include all the terms and conditions and covenants of the Rental Agreement. This document is a legal and binding contract by the party whose acceptance hereto is affixed.
Agreement Check
*
By checking this box, I agree to the terms and conditions and agree to this form as a legal binding document.
Prove that you are not a robot
Menu