Local/Provincial Inquiry

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Name
First Last
Email
Address
Street Address City Postal Code
Day Phone
Evening Phone
I am Moving on
MM slash DD slash YYYY
I am moving from a apartment townhome house office ( please indicate ):
Please indicate ( how many bedrooms, and other rooms to be moved )
If just a few items to be moved please tell us the articles
I am moving to
Street Address City Postal Code
I will require storage
Items of special concern for me are
I would like a price on a box kit delivered
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