"*" indicates required fields Customer Type Domestic Business Name* First Last Company Name*Move in date* DD slash MM slash YYYY Contract will be automatically renewed every 4 weeks until 7 days notice is given by either party.Is the vehicle being stored yours?* Yes No Caravan or Vehicle Owner DetailsName* First Last Email* Confirm Email* Address* Address Line 1 Address Line 2 City County Postcode CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Mobile Telephone NumberAlternate Telephone NumberPreferred Method of ContactMobile TelephoneAlternate TelephoneEmailDate of Birth* DD slash MM slash YYYY Drivers Licence or Passport* Drop files here or Select files Accepted file types: jpg, jpeg, png, gif, pdf, doc, docx, Max. file size: 10 MB. Please upload an image of both the front and back of your licence or passportCaravan or Vehicle DetailsCaravan or Vehicle Make*Caravan or Vehicle Model*Caravan or Vehicle Reg*Serial NumberCRiS Number (if applicable)Year of ManufactureLengthWidthValue*Number of axlesIs the vehicle subject to a finance or hire purchase agreement?* Yes No Finance Company*Agreement Reference*Name of Insurance CompanyPolicy NumberRenewal Date DD slash MM slash YYYY Tracking device fitted?* Yes No Wheel clamp?* Yes No Hitchlock?* Yes No Alarm?* Yes No Consent* I declare that I have not shown any insurance cover for my vehicle stored on site*I fully understand and accept that Clear Storage Limited are not in any way financially or otherwise responsible for any theft or damage whatsoever or howsoever caused to above item while parked on the Clear Storage Limited facility and it is my sole responsibility to carry adequate insurance for any losses. I also understand that I will be financially responsible for any damage caused by myself, my family or my vehicle to any other property at Clear Storage Limited.Direct DebitSetup Direct DebitDD Confirm* I have successfully completed the direct debit form*If you would like to pay via alternate methods please contact is directly on 01432 809521 or pay in the officeI consent to being contact via the following methods* Telephone SMS notification Email Main Points of Agreement Storage fees must be paid in advance and on time. If you fail to comply with the conditions of this agreement Clear Storage will have certain rights which include the right to seize and sell and/or dispose of your goods. Storage is charged at £15.00 a week Minimum storage period is 28 days (4 weeks) Caravans or vehicles are stored at your sole risk. You must take out insurance cover an none is provided by Clear Storage. 7 days notice must be given for termination of this agreement. Full terms & conditionsT&C Confirmation* I confirm that I have read and agree to the Clear Storage terms & conditions*Signature*CAPTCHACommentsThis field is for validation purposes and should be left unchanged.
