Renters Application

612, Inc. D.B.A. SIERRA STORAGE
4467 HIGHWAY 4, ANGELS CAMP, CA
209-736-0376

1. REQUESTING:

1. Requesting:(Required)

1. SIZE OF SPACE (Note: All sizes are approximate)

When Would You Like To Move In?(Required)

When Would You Like To Move In?

Name(Required)

Mailing Address(Required)

City(Required)

State(Required)

Zip(Required)

Street Address

City

State

Zip

Email Address:(Required)

Cell Phone:

Home Phone:(Required)

Employed By:(Required)

Work Phone Number (if applicable)

Applicant's Contact Name(Required)

Applicant's Contact Mailing Address(Required)

Applicant's Contact City(Required)

Applicant's Contact State(Required)

Applicant's Contact Zip(Required)

Applicant's Contact Email Address:(Required)

Applicant's Contact Cell Phone:

Applicant's Contact Home Phone:

Relationship To Applicant:(Required)

4. Applicant's Comments:

Consent

I certify that all information is correct.

(NOTE: May Be Signed & Dated At A Later Date)

CAPTCHA