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Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City Postal Code

Storage Location*

I would like to store my belongings at the above address

I would like to store my belongings at RENT A BOX's secure storage yard in Shakespeare, ON

I would like to load my belongings at my location and have the RENT A BOX and belongings taken to another location

Box Dimensions

RENT A BOX sizes are subject to availability

Anticipated Start Date Storage

Anticipated End Date of Storage

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