Complete the information below and then click SUBMIT to send your Order Information. A Go Mini’s representative will contact you to follow up on your request.

You may also contact us for additional information or simply call (770) 977-7767 or Toll Free (866) 541-6464 - 7 days a week.

Rental Agreement
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SUBMISSION OF THIS FORM DOES NOT GUARANTEE A GO MINI RESERVATION.
IT IS SIMPLY THE INITIAL STEP IN THE ORDERING PROCESS.

Customer Name
Service Date (mm/dd/yy)
   
  Origin Destination
Address
City
State
Zip Code
     
Home Phone
Work Phone
Fax
Email Address
Rental Information
12 Ft Mini 16 Ft Mini 20 Ft Mini
Packing Supplies
If known, indicate quantity needed, otherwise enter "?" to indicate supplies needed
and Customer Service will help determine quantity
Small 1.5 Carton Wardrobe Carton
Medium 3.1 Carton Wrapping Paper
Large 4.5 Carton Tape
Dish Pack Carton Tape Dispenser
Dish Pack Cells    
Equipment Rentals
If known, indicate quantity needed, otherwise enter "?" to indicate supplies needed
and Customer Service will help determine quantity
2 Wheel Appliance Dolley Tie Down Straps
Furniture Pads (1 dozen) Lock
Other Information
How do you plan to use your GO MINI?
How did you learn about GO MINI?
Special Instructions
 

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3535 Roswell Road, NE, #12
Marietta, Georgia  30062
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