RV & BOAT STORAGE RENTAL APPLICATION RENTER INFORMATION Name____________________________________________________________________________ Street Address_____________________________________________________________________ City______________________________________ State_____ Zip_________________________ Mobile Phone #________________Home Phone #________________Other Phone #:____________ E-Mail:___________________________________________________________________________ TYPE OF SPACE REQUESTED Property To Be Stored [ ] Boat [ ] Recreational Vehicle [ ] Length: ____________________________ Other:________________ If required, check which documents you can provide: [ ] [ ] Driver’s license Proof of insurance [ ] [ ] Vehicle registration and title Vehicle tags Space [ ] 12’ x 40’ Canopy $99 / Monthly [ ] 12’ x 40’ Uncovered Parking $65 / Monthly [ ] 14’ x 45’ Canopy $109 / Monthly [ ] 14’ x 45’ Full Enclosed $229 / Monthly 6 Months [ ] 12 Months Term [ ] PREFERED METHOD OF PAYMENT [ ] [ ] Prepayment in full (5% discount) Automatic monthly payment with credit card [ ] [ ] Prepayment in full by credit card Automatic monthly bank draft CREDIT CARD CHARGE AUTOMATIC PAYMENT AGREEMENT [ ] Payment Plan – Automatic Credit Card Payment Type of Credit Card ___________________________________________ Print Name As It Appears on Card ___________________________________________ Credit Card Number ___________________________________________ Expiration Date ___________________________________________ 3 Digit Security Code on Back of Card ___________________________________________ Billing Address ___________________________________________ Zip Code _____________________________ RETURN COMPLETED APPLICATION TO: Mail: Rocket Storage, LLC, 2249 Commerce Parkway, LaGrange, KY 40031 E-Mail [email protected] More Info Call (502) 222-1228
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