Personal Information

First Name

Last Name

Birth Date

Email

Cell Phone

Home Phone

Work Phone

Why Storing?

How did you hear about us?

Mailing Address

Suite / Apt #

Street #

Street Name

Country

Province / State

City

Postal / Zip Code

Emergency Contact

First Name

Last Name

Suite / Apt #

Street #

Street Name

Country

Province / State

City

Postal / Zip Code

Cell Phone

Home Phone

Work Phone

Delivery Address

I would like to have my locker delivered at load my locker at the U-PAK Warehouse Same as mailing address

Suite / Apt #

Street #

Street Name

Country

Province / State

City

Postal / Zip Code

How many lockers would you like?

I would like

whole locker(s) and

medium locker(s)

Whole Locker Charge / month Minimum one month rental

Medium Locker Charge / month Minimum one month rental

Delivery Information

Deliver On

Preferred Time of Day

Assured Delivery by

Locker Location

Parking Stall #

Delivery Instruction

Pick up Information

Pick up On

Same Day Pick up
Empty locker will return to Storage
Assured Pick up by

Payment Information

Payment Mode

Credit Card Type

Expiration Date

Credit Card #

Debit/Credit cards are not an accepted method of payment at this time

Name as appears on Credit Card

First Name

Middle Initial

Last Name

Address where statement sent

Suite / Apt #

Street #

Street Name

Country

Province / State

City

Postal / Zip Code

Please enter the 3- or 4- digit code that appears on the front or back of your credit card

Insurance Information

Do you want Insurance ? Yes No

Please note that Insurance is only covered while your contents are inside U-PAK Mobile Storage facility.

Pricing Information ( Amount in CAD $ )

Monthly Storage
$0.00

Pro-Rate Storage
$0.00

Delivery
$0.00

Assured Delivery
$0.00

Same day Pick up
$0.00

Insurance
$0.00

PST Tax @ 7%
$0.00

GST Tax @ 5%
$0.00

Total Price
$0.00

Yes, I have read Customer Declaration

Booking

Personal Information

Mailing Address

Emergency Contact

Delivery Address

How many lockers would you like?

Delivery Information

Pick up Information

Payment Information

Name as appears on Credit Card

Address where statement sent

Insurance Information

Please note that Insurance is only covered while your contents are inside U-PAK Mobile Storage facility.

Pricing Information ( Amount in CAD $ )