Moving Service Booking Form

Q1:First Name

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Q2:Last Name

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Q3:Address of Moving out

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Q4:Address of Moving in

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Q5:Date

日期

Q6:Beginning Time

Q7:Estimated Ending Time

Q8:Main Iteam

double- bed
couch
dining table
desk
mattress
office table
piano
treadmill
other heavy and breakable items

Q9:Truck Size

20ft box truck
16ft box truck
Pick truck 

Q10:type of accomodation

house
townhouse
appartment
condominium
basement
others

Q11:Will the heavy or breakable items,such as pianos, fridges,pool tables and treadmills be moved out from the basement of from floors without elevator?

Yes
No

Q12:Phone number

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Q13:EMAIL

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Q14:Payment

cash
EMT
others
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Moving Service Booking Form
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