Customer Form – Glamis Dunes Storage

Glamis Dunes Storage Customer Form

Step 1 of 2

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 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

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