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Vehicle Information

Make (Manufacturer) *

Model *

Year *

Type of Vehicle *

License/CF# *

Vehicle registration matches the information provided above? *

I agree

Length (feet) *

NOTE: The length of each vehicle is measured from the extreme tip to tip. For example: boats on trailers will be measured from the tip of the trailer hitch tongue to the tip of the boats motor.

Insurance Information

This vehicle is insured? *

Yes

No

Insurance Company *

Insurance Agent *

Storage Selection (minimum of 6 months)

Type of Storage *

Secured (locked gate)

Unsecured

Secured Storage Months *

Unsecured Storage Months *

Approximate Starting Date * +

Primary Contact

First Name *

Last Name *

Address Line1 *

Address Line 2

City *

State *

Zip Code *

Home/Primary Phone *

Mobile Phone

Work Phone

Email Address *

Additional Contact

Addl First Name

Addl Last Name

Addl Address Line1

Addl Address Line 2

Addl City

Addl St

Addl Zip

Addl Home/Primary Phone

Addl Mobile Phone

Addl Work Phone

Addl Email Address

Comments/Remarks

Terms of Service Agreements

Lakewood Storage Rental Agreement

I have read and accept the terms and conditions of the Lakewood Storage Rental Agreement (click link above) *

I agree

Making Your Payment

First, please verify that the information you completed on your registration above is correct. Second, note that if you do not continue all the way through making your payment, we will delete your registration form to make that storage spot available for someone else.

Clicking the Next button below will first take you to an Order Summary screen. You will click the large PayPal Check Out (Continue to PayPal) button under the Payment Method heading. You do not need a PayPal account in order to make a payment.

Next, you will be taken to a PayPal login screen. You will have an option to login to your PayPal account or ‘Pay with Debit or Credit Card’. Click this last option if you don’t have a PayPal account or wish to pay with a debit or credit card without logging into your account.

Please contact us at 701-224-8083 or lakewoodmarina@gmail.com if you encounter any problems.