Ace Self Storage

PO Box 1114

Westerly, RI 02891

401-596-3007

Customer Sign up Form

1. Customer

First Name______________________ Middle Initial___ Last Name___________________

Company Name (only if customer is a business) _________________________________________

Street Address ___________________________________________________________________

City_________________________________________ State____ Zip___________________

Home Phone ______-______-________ Cell Phone ______-______-________

Driver's License Number____________________________ Driver's Lic State_____________

Social Security #: ______-______-_________

E-mail _____________________________

Vehicle #1 Marker Plate Number & State _________ ___ Type of Vehicle ______________

Vehicle #2 Marker Plate Number & State _________ ___ Type of Vehicle ______________

2. Alternate Contact

First Name ______________________ Middle Initial ___ Last Name ___________________

Street Address ___________________________________________________________________

City _________________________________________ State ____ Zip___________________

Home Phone ______-______-________ Work Phone ______-______-________

E-Mail ____________________________

3. Employer Information

Employer Name __________________________________________________________________

Street Address ___________________________________________________________________

City_________________________________________ State ____ Zip __________________

Work Phone ______-______-________