SMALL MOVE SPECIALISTS

"No move is too small"

Voice: 301-515-7241 -------- Fax: 301-515-4100
e-mail: smallmove@erols.com


LONG DISTANCE MOVE ESTIMATE REQUEST FORM

To receive an estimate for your long distance move, please enter the following information in the spaces provided and then click on the "Submit Estimate Request" button below.

Name:
Home Phone:
Business Phone:
Email:
FAX:
Moving Date:

Address shipping from:
City:
State:
Zip Code:

Address shipping to:
City:
State:
Zip Code:


Items to be Moved

Please complete the following schedule of items to be moved. If an item is not listed, describe the item in the "other" section below and include the dimensions in the "Comments" section below if possible.
ITEM
QUANTITY
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.


Other Items

Please list items not shown above in the space, below
ITEM
QUANTITY
1.
2.
3.
4.
5.
6.

Comments:

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Page created by:
Craig Austin - Buckeyes2@aol.com