Booking form — shropshire holdings LTD
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short term rental
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Booking form
Home
short term rental
about us
Questions
Booking form
book a box
If time is limited then why not speed up the process and complete this form ahead of your appointment.
Name
*
First Name
Last Name
Date of birth
Address 1
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Phone Number
Emergency Contact Name
Telephone number
Email
Secondary key holder
First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Telephone Number
Email
Date of Birth
Size of box required
Box One (small)
Option Two (medium)
Option Three (large)
Customer Declaration
I hereby confirm that this safe deposit box will not be used in any criminal endeavor. It will not be used to store drugs, weapons or proceeds of crime.
Customer Declaration
I hereby confirm that the above information is correct at the time of writing, and I am happy for you to contact me and my emergency contact should the need arise .
Signature
Date
MM
DD
YYYY
Thank you, we will get back to you as soon as possible.