Name:

E-mail Address:

To reserve your storage space please fill in all required spaces. Use the appropriate code as requested.

General Information:

Phone number:
Move in Date:
Departure Date:
Address Street:
Town:
Zip Code:

Type of storage required:

Climate controlled vault		Storage cage
Open Warehouse		Outside storage
Other:

Lease duration:

Daily

Monthly

Seasonal

Annual

What you are storing code?		or size of space		X
1. Motor home   2. Camping trailers   3. Boat & trailer   4. Car, Van or Truck   5. Motorcycle   6. Industrial equipment   7. Furniture   8. Jet-ski   9. Snowmobile 10. Warehouse 11. Customized space 12. Cold storage 13. Storage locker 14. Climate controlled vault

How will you pay for your storage space?	Please select one American Express Master Card Discovery Card Visa Check Debit card Cash Other
How did you hear about Y-STORE-IT?	Please select one Advertising Direct mail Fixed displays Coupons Referral Signage Word of mouth Other

Will you take advantage of any of the following services:

Pick-up/delivery service?	YES	NO	NOT AT THIS TIME
Monthly access to your stored item?	YES	NO	NOT AT THIS TIME
Power washing?	YES	NO	NOT AT THIS TIME
Power waxing?	YES	NO	NOT AT THIS TIME
Vehicle cleaning (internal)?	YES	NO	NOT AT THIS TIME
Vehicle maintenance?	YES	NO	NOT AT THIS TIME