Route 52 RV & Boat Storage, LLC: Account Information

Contact Information

Name (First, Middle Initial, Last) Only one customer name please. Units will be rented under the name given here.

Address

City

State/Province

Zip/Postal Code

Phone

Cell Phone

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Personal Information

Drivers license number

Drivers license state

Emergency contact

Emergency phone

Photo ID (Driver's License or Government Issued ID)

Alternate Contact Information

Contact

Phone Number

Additional Information

Email Address

Name of Person who referred you

Name of Dealer who Referred you

Do you want to pay monthly, 6 months or 12 months?

Are you Military or a First Responder?

Vehicle Type

Vehicle Make

Vechicle Model

Year

VIN Number

License Plate number (Current registration required)

License Plate State

License Plate expiration date

Color

Length

Insurance Agent and Phone number

Lien

Lien Holder

Plate

How did you hear about Route 52 RV & Boat Storage, LLC?

Security question This may be used to verify your identity at the storage site.

Security answer Please answer the security question above.

Username

Password Must be at least 4 characters.

Password confirmation Please confirm that the password is typed correctly.

Required fields are marked with an asterisk.