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RATE REQUEST FORM
Name:
Address:
Address 2:
City/Country - Origin:
City/Country - Destination:
E-mail:
Phone:
Fax:
Cell Phone:
Type of Goods: Household Goods ( ) Office Items/Equipment ( )
Type of Service: door to door ( ) door to port ( ) port to door ( )
Transportation Method: by sea ( ) by air ( ) by land ( )
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:
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 ?
Please copy and paste and reply above all contents to our mailbox : info@cemovers.com
Thank you for completing this form. Our moving specialist will contact you shortly.
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