5x5 drive-up storage unit - 148th & S. Indiana rent

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Unit Info

Personal Information

Required fields are indicated with an asterisk (*).

Name*

First Last

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Driver's License

Max. file size: 128 MB.

Please upload a copy of your driver's license.

Contact Information

Required fields are indicated with an asterisk (*).

Email*

Home Phone

Cell Phone*

Can we text you on this #?*

Yes

Cell Carrier*

Preferred Method of Communication*

Place of Employment

Work Phone

Access Rights for Others

List other person(s) you want specifically named in the rental agreement as having rights to the space. i.e., other persons to whom we may give a facility access code without us having to check with the tenant for authorization. I authorize Affordable Storage to contact these people if my unit becomes past due.

1. Name*

First Last

Relationship*

Phone*

2. Name

First Last

Relationship

Phone

3. Name

First Last

Relationship

Phone

Emergency Contacts

List other person(s) who we may contact in an emergency. Do not list persons living with you. These persons may have access under the very limited circumstances (affidavit of death, incarceration, permanently missing or permanently incapacitated) as listed in paragraph 1 of the lease. I authorize Affordable Storage to contact these people if my unit becomes past due.

1. Name*

First Last

Relationship*

Phone*

2. Name

First Last

Relationship

Phone

3. Name

First Last

Relationship

Phone

Are you in the military?*

Yes

If yes are you currently:

Reserves/National Guard

Active Duty

If on active duty, please refer to paragraph 16 of the TSSA Rental Agreement

How did you hear about us?*

How long will you be storing with us?

Months*

Years*

Move-In Date

Would you like to use our free trailer rental to move-in?*

Yes

Payment Information

Your card will not be charged until you come into the office and sign your rental agreement.

Payment Frequency*

Monthly

Semi-Yearly

Quaterly

Yearly

Type of card*

Visa

MasterCard

Discover

American

Credit Card #*

Expires*

CVV2 #*

Consent*

I authorize Affordable Storage to withdraw payment from the above noted account.

If payment on unit is not made prior to the agreed upon due date, tenant authorizes Affordable Storage to apply the total amount due to the above mentioned credit card on or after the said due date. Tenant also authorizes Affordable Storage to use any credit/debit card I update at a future date.

Digital Signature*

First Last

Date*

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Comments

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Personal Information

Contact Information

Access Rights for Others

Emergency Contacts

Payment Information

Unit Info

Store Info

148th & S. Indiana

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