Acadiana Go Minis - Order Form

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Acadiana
GoMinis
Abbeville, LA
Lafayette, LA
337-893-5598
800-951-9037

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.

This form does not obligate you to order the GO MINI.

ASK ABOUT OUR FULL LINE OF MOVING SUPPLIES...
Locks, tape, moving boxes, shrink wrap, pads, bubble wrap and more!

You may also contact us for additional information or simply call
337-893-5598 or 800-951-9037 (Toll Free).

Rental Agreement

(requires Adobe Reader)

Customer Name	(required)
Service Date	(mm/dd/yy) (required)

	ORIGIN (required)	DESTINATION
Address
City, State Zip

Use the following format "XXX-XXX-XXXX" for phone #'s. If only one number is available, enter it in both required fields.

Home Phone

(required)

Work Phone

(required)

Cell Phone

Fax

Email

CONTAINER SIZE

Use this online calculator to quickly estimate what size container you will need. Calculator courtesy of our friends at Need A GoMini.

12 Ft Mini

16 Ft Mini

20 Ft Mini

MOVING SUPPLIES

If known, indicate quantity needed, otherwise enter "?" to indicate supplies needed and
Customer Service will help determine quantity

Small Boxes

View Complete Listing of
Moving Supplies

Wardrobe Box

Medium Boxes

Dish Pack Boxes

Large Boxes

Dish Pack Dividers

Economy Kit

Mattress Bag

Value Kit

Bubble Wrap

Kitchen Kit

Packing Paper

Closet/Ward Kit

Tape

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