Scholarship Storage- Quote

ssi@scholarshipstorage.com

To receive a quote, simply fill out this form.
A representative will contact you with an estimate and arrangements will be made to pick up your property.

Name:

University or College:

Graduating Year:

Spring School Address:
Dorm / Room #

Email Address:

Phone # at School:

Alternate Phone#:

Fall Address:
(if known)

Fall Phone #:
(if known)

Summer Address:

Summer Phone #:

Summer Email Address:
(if different than above)

Date of Last Exam:

Date of School Departure:

Refer a friend and save $10 (new customers only)

Friend's Name:

Friend's Email:

Items to be stored:

Qty.	Description
	Small Boxes	(18x12x12)
	Large Boxes	(18x18x24)
	Wheeled SSI Storage Container	(50x24x24) Equiv.3 Lg. Boxes
	Refrigerator
	Suit Case of Duffel Bag
	Futon Sofa / Bed / Couch	( 6 ft long)
	Rug	(6x9 , 9x12)
	Trunks
	Husband or Desk Chair	(No Box Needed)
	Loft Bed	(No Box Needed)
	Bike	(No Box Needed)
	Ski's, Poles	(No Box Needed)
	Plastic Stacking Bins / Yaffa Blocks /	(No Box Needed)
	Misc:

I have read, understand, and agree to the “Terms and Conditions’ under “SCHEDULE” which are required prior to my pickup