St. Georges Studen Storage Form

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Middletown Self Storage 909 Aquidneck Ave. Middletown, RI 02842 (401) 847-8673 St. George's Student Storage Contract
Customer Name:
Address:
City:			Zip:
Phone:
Email:
Rental Out Date:		Rental Due Date:
* We will contact the student about payment after the order is received
All prices include pick-up, delivery and storage for the summer, except where noted
Equipment	Quantity	Price	Sub Total
Storage Cube ($180 Value):	Quantity:	Price: $	Sub Total: $
Medium Boxes (up to 30#) $20.00 each:	Quantity:	Price: $	Sub Total: $
Specialty Box:	Quantity:	Price: $	Sub Total: $
Loveseat (up to 60"):	Quantity:	Price: $	Sub Total: $
Sofa or Futon (up to 80"):	Quantity:	Price: $	Sub Total: $
Upholstered Chair (up to 36"):	Quantity:	Price: $	Sub Total: $
Bicycle (non-motorized):	Quantity:	Price: $	Sub Total: $
Mini Fridge or Desk Chair:	Quantity:	Price: $	Sub Total: $
Rolled up Rug:	Quantity:	Price: $	Sub Total: $
5' x 5' x 4' storage unit: *does not include pickup and delivery, additional fees apply’	Quantity:	Price: $	Sub Total: $
5' x 5' x 8' storage unit: *does not include pickup and delivery, additional fees apply’	Quantity:	Price: $	Sub Total: $
Padlock (storage cube):	Quantity:	Price: $	Sub Total: $
		Grand Total: $