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Hurricane Lake Forms

Move-In Questionnaire

What size storage unit do you need?*
- Standard 5' X 10' - $60/mo
- Standard 10' X 10' - $70/mo
- Standard 10' X 15' - $80/mo
- Standard 10' X 20' - $90/mo
- ❄️ Heat/Cooled 5' X 10' - $80/mo
- ❄️ Heat/Cooled 10' X 10' - $90/mo
- ❄️ Heat/Cooled 10' X 15' - $120/mo
- ❄️ Heat/Cooled 10' X 20' - $150/mo
Do you need more than one unit?*
- Yes
- No
What additional units do you need?*
- Standard 5' X 10' - $60/mo
- Standard 10' X 10' - $70/mo
- Standard 10' X 15' - $80/mo
- Standard 10' X 20' - $90/mo
- ❄️ Heat/Cooled 5' X 10' - $80/mo
- ❄️ Heat/Cooled 10' X 10' - $90/mo
- ❄️ Heat/Cooled 10' X 15' - $120/mo
- ❄️ Heat/Cooled 10' X 20' - $150/mo
How many of each additional size do you need?*
Name*
First Middle Initial Last
Address*
Street Address City State ZIP Code
Cell Phone*
Email*
Enter Email Confirm Email
Drivers License Number*
Issuing State*
State
Drivers License Expiration Date*
Month
Day
Year
Driver's License Scan Upload
Accepted file types: jpg, gif, png, pdf, Max. file size: 2 MB.
Alternate Access Name
First Middle Initial Last
Alternate Access Address
Street Address City State ZIP Code
Alternate Access Cell Phone*
Do you need a 2nd alternate to have access?*
- Yes
- Nope
2nd Alternate Access Name*
First Middle Initial Last
2nd Alternate Access Cell Phone*
We will reserve this Unit for your move-in on the following date*
MM slash DD slash YYYY
Select a Gate Access Pin Code (4 digits)*
Do you need to purchase a Lock for $8.00?*
- Yes
- No
Will you be paying today with:*
- Cash
- Check
- Debit or Credit Card
Would you like to set up auto draft?*
- Yes
- No
Tenant Acknowledgment Addendum*
- No, I decline participation in Safestor Tenant Insurance.
  - I understand that by declining coverage I am completely responsible for any loss or damage to my property including but not limited to: mold, vermin, water damage, fire/smoke, tornado/hurricane, earthquake, lightning/hail, and burglary.
  - I understand that the storage facility is not responsible for loss or damage to my stored goods and agree to hold this storage facility harmless.
- Yes, I want to cover my stored items with Safestore Tenant Insurance with the coverage limit selected.
  - I understand that coverage is effective immediately at time of payment.
  - I understand that the monthly rate to cover my stored goods is being collected by the facility and forwarded to the insurer as a courtesy.
  - I understand that the storage facility is not responsible for paying my monthly premium if I fail to make payments.
  - I understand that the facility may retain a portion of the monthly tenant insurance premium payment to cover the administration of the policy.
Tenant Acknowledgment Addendum You are responsible to have coverage for your stored items I understand that this storage facility does not insure my goods and is not responsible for damage to my stored property. I confirm that this facility has recommended that I provide proof of insurance coverage or immediately obtain coverage for my stored property. I confirm that Safestor Tenant Insurance has been offered.
Select Coverage*
- Coverage Limit: $1,000 for $7.95/mo
- Coverage Limit: $5,000 for $10.95/mo
- Coverage Limit: $10,000 for $20.95/mo
- Coverage Limit: $15,000 for $35.95/mo
How did you hear about us?*
- Referred by someone
- Google
- Google or Apple Maps
Signature*
Comments
This field is for validation purposes and should be left unchanged.

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Get in Touch

(501) 860-9688

Gate Hours

6am – 10pm Everyday

Our Office

3530 Salem Road
Benton, AR 72019

What we Offer

Secure Gate Access
Video Monitoring
Mini Storage
Heat & Cooled Units
Locks
Convenient to Hwy 5
Professionally Managed
New & Clean Units

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