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Full
name:
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Email
address:
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Daytime
telephone number:
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Evening
telephone number:
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| Best time to reach you: | |
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Date
of move:
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| From what city: | |
| To what city: | |
| Number of rooms: | |
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Approximate
weight (if known):
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| Type of residence: | Single-family
home
Multi-family home Apartment Condominium High rise |
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Type
of packing services needed:
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None
Partial Full |
| How did you hear about us? | A
search engine
A link from another web site A printed publication I was referred by a friend |
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Please
list any additional information or special services you may require:
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