Moving Service Booking Form

First Name
    ____________
Last Name
    ____________
Address of Moving out
    ____________
Address of Moving in
    ____________
Date
日期    ____________
Beginning Time
时    ____________
分    ____________
Estimated Ending Time
时    ____________
分    ____________
Main Iteam
double- bed
couch
dining table
desk
mattress
office table
piano
treadmill
other heavy and breakable items
Truck Size
20ft box truck
16ft box truck
Pick truck
type of accomodation
house
townhouse
appartment
condominium
basement
others
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
Phone number
    ____________
EMAIL
    ____________
Payment
cash
EMT
others

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