Belosevic Holdings Limited
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Sign up form for Storage Unit at Safeguard Te Rapa
CONTACT
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Name
*
First Name + Middle Name
First Name
Last Name
Date of Birth
*
Driving Licence or Passport Number
*
Company + NZBZN
If you would like to use Storage Unit under your business name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Email
*
Do you have insurance and with who?
*
ALTERNATE CONTACT
*
First Name + Middle Name
First Name
Last Name
Address (different from PRIMARY CONTACTS address)
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Email
*
RELATIONSHIP TO THE RENTER
*
Thank you!
