Coupon Form Name Address City State     Zip Code     Phone Email How did you hear about us? Google Yahoo Other Search Newspaper Friend Flyer Drive-by Repeat Customer Other May we contact you? Yes     No   We will only contact you if you so indicate. Click Submit for Your Coupon: Canal Road Self Storage 700 Canal Road • Brunswick, Georgia 31525 912-262-1999 • Fax 912-262-1990 www.CanalRoadSelfStorage.com