Jax Rent a Box Order Form

Pick Your Products
Select Your Package*

1 Bedroom: 25 Boxes - $1492 Bedroom: 40 Boxes - $1593 Bedroom: 55 Boxes - $1794 Bedroom: 70 Boxes - $2495 Bedroom: 100 Boxes - $299
Select Extras
5 Extra Boxes - $25
1 Month Rental
Moving Blanket - $5 per blanket
1 Month Rental
Bubble Wrap - $40 per roll
Roll Size - 12" X 300', 3/16"
Packing Paper - $20 for 100 Sheets
24 X 30" sheets
Delivery Floor Access*
Pick-Up Floor Access*
Subtotal
Total Price*

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Give Us Your Deets
Name*

First NameLast Name
E-mail Address*
Phone Number*
Select Your Dates

All rentals are for up to 30 days from date of drop-off. If you need more time, please reach out.
Drop-Off Date*

MonthDayYear
Pick-Up Date*

MonthDayYear
Rental Duration
ERROR: Rental duration cannot exceed 30 days. Please select a valid pick-up date.

Where are you moving from?

Enter the info about where we will drop off your boxes for you to use during your move.
Delivery Address*

Street Address

Unit or Apartment Number

CityState

Zip Code
Delivery Zip Code*
Please select your zip code within our Northeast Florida delivery zone.

Where are you moving to?

Enter the info about where we will pick up the boxes after you have moved.
Pick-up Address*

Street Address

Unit or Apartment Number

CityState

Zip Code
Pick-Up Zip Code*
Please select your zip code within our Northeast Florida delivery zone.
Should be Empty:

Pick Your Products