PARKPAD STORAGE REQUEST SINGLE REQUEST

PARKPAD STORAGE REQUEST

Please fill in the following information so we can prepare your self-storage rental agreement.
Tenant Information
Your Name*

First NameMiddle NameLast Name
Your mailing address for all mailed notices*

Street Address

Street Address Line 2

CityState

Zip Code
Your email address for all emailed notices*
Primary Mobile Number*
Work Phone Number

Access Rights
Access rights for others. List other person(s) you want specifically named in the rental agreement as people to whom we are authorized to provide your space number, access code, account status, or assistance with lock cutting, i.e., other persons who may break your lock on the storage unit (if necessary) to gain entry and to whom we may give a facility access code without us having to check with you for authorization.
Do you want to provide access rights for others?*

YesNo
Name*
Your mailing address for all mailed notices*

Street Address

Street Address Line 2

CityState

Zip Code
Mobile Phone Number*
Work Phone Number
Email address*
Add more?

Yes
Name*
Your mailing address for all mailed notices*

Street Address

Street Address Line 2

CityState

Zip Code
Mobile Phone Number*
Work Phone Number
Email address*

Emergency Contacts
Emergency contacts. List other person(s) who we may contact in an emergency (fire, flood, missing lock, etc.). Do not list persons living with you. These persons may have access under the very limited circumstances (affidavit of death, incarceration, permanently missing, or permanently incapacitated) as listed in paragraph 1 of the lease.
Do you want to add an emergency contact?*

YesNo
Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Phone Number*
Work Phone Number
Email address*
Add more?

Yes
Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Phone Number*
Work Phone Number
Email address*

Additional Questions
Are you serving in the military?*

YesNo
I am currently in the:

ReservesNational GuardTexas State Guard active duty
Where are you currently stationed?
What military branch?
Assigned military unit number and address
Your driver’s license's state*
License Number*
Expiration Date*

MonthDayYear
Upload Drivers License*

Cancelof
Is your CURRENT address is different than address listed on Drivers License?*

YesNo
Generally describe what will be stored?*
See list of what cannot be stored in paragraph 36 of the rental agreement.
NOTICE: For security and environmental protection purposes, photographing, and videotaping may occur and thumb printing of tenants or photocopying their driver’s license may be required, at the facility owner’s option. Owner has no duty to do so.

PARKPAD STORAGE REQUEST