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ONLINE APPLICATION TO RENT FORM

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(Fill Out Form and Submit for Application)
 
FIRST NAME
 
MIDDLE NAME
LAST NAME
 
 
ADDRESS
 
     
EMAIL ADDRESS
 
     
CITY
 
STATE
ZIPCODE
 
PHONE
 
DRIVER'S LICENSE NUMBER
STATE
BIRTHDATE
 
EMPLOYER
 
     
EMPLOYER ADDRESS
 
     
CITY
 
STATE
ZIPCODE
 
PHONE
 
       
ALTERNATE CONTACT PERSON (In case we can not Contract or Locate you)
FIRST NAME
 
MIDDLE NAME
LAST NAME
 
 
ADDRESS
 
     
CITY
 
STATE
ZIPCODE
 
PHONE
 
RELATIONSHIP TO YOU
     

HOW DID YOU HEAR ABOUT FOX VALLEY MINI STORAGE

SELECT STORAGE SIZE
DATE NEEDED
 
   



BREIF DISCRIPTION OF WHAT WILL BE STORED IN THE UNIT
 
* INDICATES RESPONSE REQUIRED

(NOTE: It is recommended that a renter's insurance policy be purchsed to insure contents of the unit.

Landlord is not responsible for any loss or damage to contents of unit)

WITH THIS APPLICATION i AM PAYING THIS DEPOSIT ON A STORAGE UNIT. I CERTIFY THAT THE
INFORMATION IN THIS APPLICATION IS TRUE AND CORRECT.  I FURTHER AUTHORIZE YOU OR YOUR
AGENT TO INVESTIGATE THE INFORMATION FURNISHED BY ME.  I AGREE THAT THE LANDLORD
MAY TERMINATE ANY AGREEMENT ENTERED INTO IN RELIANCE ON ANY MISINFORMATION STATE ABOVE.

BY SUBMITTING THIS INFORMATON I UNDERSTAND AND AGREE TO THE TERMS ABOVE AND BY HITTING THE SUBMIT
BUTTON AGREE THIS SHALL ACT AS MY SIGNITURE.

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