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PERSONAL DETAILS of the APPLICANT

Complete Name
 
Legal Address
 
Locality
 
Province
 
Postal Code
 
E-mail
 
Contact Phone
 
DATA of the SOLICITED BOX

Size (m2)
 

Indicating the size that you need in m2


Where do you want the box?
 

Indicating the locality and province


Start Date
 

Indicating the date in that you are going to need the box


Esteemed duration ( in weeks )
 

Indicating the time in weeks that you are going to need


Size of his house ( in m2 )
 
Room's n his house
 
ANOTHER ACCESSORIAL SERVICES

   Yes! I will need packing materials
 
   Yes! I will need moving service
 
Notes