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Moe – Waterloo Road
Moe – Della Torre Road
Churchill – Switchback Road
Sign Up
Contact
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michael
2019-03-22T16:13:44+11:00
Storage Agreement
Storer Details
Storer
*
Individual
Company
Company Name
ACN
Name
First
Last
Home/Business Address
*
Street Address
Address Line 2
City
State
Postcode
Postal Address
*
Street Address
Address Line 2
City
State
Postcode
Home Phone
Work Phone
Mobile Phone
*
Email
*
I consent to receiving correspondence (including Notices) from this Facility electronically (including email or SMS) It is your obligation to update your above details if they change
Alternative Contact Person (ACP)
Name
*
First
Last
Home Address
*
Street Address
Address Line 2
City
State
Postcode
Home Phone
Mobile Phone
Email
*
Storage Period From
*
Date Format: DD slash MM slash YYYY
Storage Period To
*
Date Format: DD slash MM slash YYYY
Insurance
I accept insurance facilitated by the FO as detailed in the separate insurance agreement numbered: The insurance level I have chosen is adequate protection of the value of the Goods stored.
I do not accept insurance facilitated by the FO nor do I have the contents insured with any insurance broker or insurance company. I elect to self-insure and take the risk of loss or damage to the goods stored.
I have adequately insured the value of the Goods with my own insurance company or broker who is as follows
Insurance Broker
and then extended automatically until 7 days’ notice is given by either party
Promotion / Feedback Contact
Tick this box if you
DO NOT
want to be contacted by this business for promotion or feedback after this contract expires
Conditions of Agreement
View the Conditions of Agreement here
Consent
*
I agree to be bound by the conditions of the agreement listed above
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