New Customer Information Sheet

NEW CUSTOMER INFORMATION SHEET

First Name: _____________________________________ Last Name: _______________________________________ Date: _____________

Address: ___________________________________ Apt: _________ City: ________________________ State: __________ Zip:__________

Home Phone: _________________________ Work: _______________________ Cell: _______________________ Preferred:

H

W

C

E-mail Address *: _______________________________ Date of Birth: _________/_________/_________

Drivers License Number: _________________________________ State: _____________ Tax ID# (if applicable): _______________________

Employer/Business Name: _____________________________________________________________________________________________

Employer/Business Address: ___________________________________ City: ______________________ State: _________ Zip: ___________

Emergency Contact (not residing with you): ____________________________________________Phone: _____________________________

Address: _________________________________________ City: ________________________ State: __________ Zip: __________________

Others with Authorized Access: _________________________________________________________________________________________

Please describe the goods you are storing. ________________________________________________________________________________

Military Status:

No, not in the military

Active military duty

Reserve Military

Student Status:

No, not a student

Graduate student

Undergraduate Student

Please help us to better serve you by answering the following questions

1. Have you used self storage before?

8. How far do you drive to this location?

Yes, Extra Space Storage or Storage USA

0 – 1 Mile

2 – 3 Miles

4 – 5 Miles

Yes, Another Provider

6 – 10 Miles

10 + miles

No

9. How did you FIRST become aware of us? (choose one)

2. What is your primary purpose for using storage?

Attended event at property

Chamber of Commerce

Business

Residential/Personal

Both

Extra Space employee

Extra Space website

Internet Search Engine

Internet Yellow Pages

3. What is your primary reason for using storage? (choose one)

Referred by someone

Received coupon/flyer

Business inventory storage

Rented with Extra Space before

Downsizing to a smaller space

Sign/Drive-by

TV

Inactive file/disaster recovery

Yellow Pages Ad

Other

Lack of space in residence or office

Life change (e.g. divorce, separation, inheritance)

10. How did you FIRST contact us? (choose one)

Moving

Call to property

Call to toll free 800#

RV/Boat/Vehicle Storage Needs

Visit to website

Visit to property

Storing seasonal items (e.g. Christmas décor)

Other

Other

11. What was your PRIMARY source of information when you

4. If Business, what type business? (choose one)

researched self storage companies? (choose one)

Accounting/Financial

Automobile Sales/Service

Friends/family/colleagues

Yellow Pages

Computer/IT

Construction/Contractor

Call to property

Call to toll-free 800 number

Distribution

Education

Internet Yellow Pages

Website

Government

Hotels

Other

Landscaping

Medical

Movers

Non-Profit

12. Did you use the Yellow Pages?

Pharmaceutical

Restaurant

No, did not use

Retail

Service

Yes, to find phone number/address

Other

Yes, to compare storage companies

5. If Business, number of employees at your location?

13. Did you visit the Extra Space/Storage USA website?

1 – 5

6 – 14

15 – 24

25 – 49

50 +

No, did not use

Yes, to find information about Extra Space/Storage USA

6. How long do you plan to use self storage? (choose one)

Yes, to comparison shop

1 month or less

2 months

3 months

Yes, to reserve a storage unit

4-6 months

7-11 months

12+ months

14. Do you regularly receive and open any coupon circulars

7. How many other storage companies did you call before renting

(e.g. Val Pak, Penny Saver) at your home?

Yes

No

from us?

None

1

2

3

4+

* By providing your e-mail address, you are agreeing that Extra Space Storage may contact you in the event of an emergency and/or may send you special offers. All information provided to Extra Space Storage

remains confidential and will not be sold to third-party entities. For additional information, please see Extra Space Storage privacy policy at