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1.How would you like to be contacted? PHONE MAIL EMAIL Select One

2.Have you ever used Self Storage before ? YES NO

3.Are you inquiring on behalf of ? Yourself Friend or family member Your business Select One

4.Why do you need storage ? Personal/Business relocation Insufficient office space Overcrowded Apt. New family member Select One

5.Do you need the services of a Moving Company ? YES NO

6.Do you need moving supplies ? YES NO

7.When will you need storage space ? Within 1 Month Within 2 Months Within 3 Months Select One

8.How did you hear about Chelsea Mini-Storage ? Yellow Pages Friend Promotional Coupon Moving Company Other Source Select One

9.Do you have any specific questions you need answered ?