College Locker Request

Addspace College Locker Reservation Request

Addspace Indoor Storage
Full Name

First NameLast Name
Phone Number

Area CodePhone Number
E-mail
College Name
Dorm Name
Dorm Box#
Year in School
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone #

Area CodePhone Number
What Period Are You Renting for:
Requested Pickup Date

MonthDayYear
Date
Request Pickup Time
Requested Drop Off Date

MonthDayYear
Date
Requested Drop Off Time
Drop Off Dorm Name
For Lockers Only - Oversized Item #1
For Lockers Only Oversized Item #2
Do you need to buy a lock? ($5.50)
How many small boxes do you want to buy?
How many medium boxes do you want to buy?
How many large boxes do you want to buy?
How many file boxes do you want to buy?
How many roles of tape do you want to buy?
How many wardrobe boxes do you want to buy?
Requested Boxes Drop Off Date

MonthDayYear
Date
Enter Your Email Coupon Code
Comments/ Questions
Should be Empty: