Company Name:
Address:
City:
State: Zip:
Daytime Phone: Evening Phone:
*Email Address:
1. How would you like to be contacted? (Select one:)
2. Have you ever used Self Storage before? Select one:
3. Are you inquiring on behalf of: (Select one)
4. Why do you need storage? Select one:
5. When will you need storage? Select one:
6. How did you hear about Village Self-Storage? (Select One)
7. Do you have any specific questions you need answered?
Size of unit desired? Temperature Controlled, Conventional?