NAME
FIRST NAME:
[field id="field_c26ca7b"]
Middle Initial:
[field id="email"]
LAST NAME:
[field id="field_db8560b"]
Address
STREET:
[field id="field_ce94f57"]
Apt./Suite:
[field id="field_c18a321"]
CITY:
[field id="field_c87b5d8"]
STATE:
[field id="field_242e605"]
ZIP:
[field id="field_e7a7ac1"]
Contact Info
PHONE:
[field id="field_9d02bc8"]
EMAIL:
[field id="field_d713013"]
LOCKERS
NUMBER OF LOCKERS:
[field id="field_7766934"]
Description: Longboard or SUP? If SUP, width and thickness please?:
[field id="field_1e957b5"]
Locker(s) Requested (example; A-1,B-5, D-12):
[field id="field_d5c6ddd"]
PAYMENT INFO
PAYMENT PLANS:
[field id="field_0a55a09"]
Starting Date (if short term rental):
[field id="field_12cd489"]
Ending Date (if short term rental):
[field id="field_bcf55d2"]
PAYMENT METHOD (Choose one):
[field id="field_2f841ae"]
NALU STORAGE RULES & REGULATIONS
I HAVE READ AND AGREE TO THE TERMS OF AGREEMENT:
[field id="field_3cb1839"]
CURRENT DATE:
[field id="field_a3c97de"]
SIGN:
[field id="field_6125d10"]