Pre Move Survey Form

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Name: 　 Address: 　 Address 2: 　 City/Country - Origin: 　 City/Country - Destination: 　 E-mail: 　 Phone: 　 Fax: 　 Cell Phone: 　 Type of Goods: 　 Type of Service: 　 Transportation Method: Sea     Air    Truck For big quantity of goods to move, We are happy to arrange for a FREE pre-move survey at your home, please specify your preferable date and time: Year    Month     Day for a smaller consignment, please provide us an approximate weight or volume of your total items.: weight: 　 　 volume: 　 Furnished Rooms in your household. How many bedrooms ? 　 Furnished Rooms in your household. Select any of the following options that apply: 　 kitchen 　 living 　 dining 　 play room 　 office 　 garage 　 study 　 patio 　 attic 　 basement Any unusual items, special requests? 　 Do you need more information on specific relocation requirements? If so, please specify here 　 Please tick if Storage is required yes　　  no Expected Date of Move 　 Who will pay for move company (name) 　 　 personal 　 When should we contact you 　 Did you use any Mover in past yes　　  no If Yes please provide Name 　 Your last moving experience

- Urgent yes　　  no More Comments

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