First Name: |
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Middle Initial: |
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Last Name: |
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Dorm Name: |
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College Box #: |
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School Phone #: |
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Cell Phone
#: |
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FRESHMAN
SOPHOMORE
JUNIOR
SENIOR
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HOME Address: |
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City,State,Zip: |
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Home Phone #: |
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E-mail Address: |
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ARE YOU RENTING
FOR THE: |
Summer May-Aug
Semester May-Jan Year May-Aug of Following Year |
REQUESTED PICK UP DATE: |
PICK UP TIME:
(Appx.
time)
* The sooner you schedule, the more likely
you will get the time and date you need.
Our trucks run from
9:15am until 4pm
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DROP
OFF DATE: |
(If
you do know the exact day you are
returning to school, state the date, the appx.
time and the dorm we will be dropping off
at. We'll place you on the return schedule right
away.
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Select Unit Size:
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Locker(4x4x3)
Unit(5x4.5x9)
Unit(5x7.5x9)
Unit(5x10x9) Larger
* For units only: you will have to load your items onto the truck
& follow the truck back to Addspace to offload your items into
your storage
unit.
(Please note: we do not provide
transportation)
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For LOCKER ONLY: |
List below if you know what 2
oversized Items you will be storing, especially very large items such as futons or couches. |
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1.-
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2.-
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Do you need to buy a lock?
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YES
NO |
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Do you
need to buy boxes?
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Small Medium
Large File Box w/Lid
Tape
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* If you purchase our boxes, we
will drop them at your dorm on the day you
specify!! |
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Box drop off date
and time (appx.): |
(We'll leave your boxes downstairs
in your dorm) |
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Questions?
(Do you wish to authorize others to access
your unit? - indicate who)
(Do you have a coupon? - enter the code
here)
(Please DO NOT enter Credit Card numbers on this
form!)
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If you experience any problem submitting this form
please contact us at (845) 297-1500 immediately. Thank you.
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