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Please submit to set up a

 Free Estimate. Thank you!


 

  • Please provide the following information:

     

    First Name
    Last Name
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Home Phone
    Cell Phone
    Work Phone
    E-mail

     

  • Date of Move

    -- mm/dd/yy

  • Type of move
    Local   Long Distance  Storage  International
    
  • Items in the Basement

    Yes No

  • Items in the Attic

    Yes No

  • Items in Garage

    Yes No

  • Extra pick-ups

    Yes No

  • How many of the following?
  • Bed Rooms     
  • Living/Family Rooms          
  • Exercise Room                 
  • Kitchen/Pantry                 
  • Dining/Breakfast Rooms   
  • Laundry Room                 
  • Nursery/Office                 
  • Deck/ Screen Porch         
  • Cars to Move                    
  • Additional Comments

    Destination Address?

    Street Address
    City
    State/Province
    Zip/Postal Code

    How did you find us?


  • Word of Mouth

    Yes No

  • Yellow Pages

    Yes No

  • Search Engine (Google, etc.)

    Yes No

  • Post Card Mailers

    Yes No

  • Mail

    Yes No

  • Radio

    Yes No

  • Other

    Yes No


        

 

                

Agent for Mayflower Transit, LLC.      USDOT 125563        PUCO 138107-HG

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