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Contact Details
First Name *
Last Name *
Tel (daytime) * (e.g. 416-232-2222 )
Cell phone (e.g. 416-232-2222 )
Email *
Preferred contact by Phone   Email  

Moving From:
Street *
Floor Number *
Province *
City *
Postal Code * (e.g. L9P 1Y5 )
   
Move size *
Elevator available? Yes   No  
Packing Requirement
I will require storage Yes   No  

Moving To:
Street
Province *
City *
Postal Code (e.g. L9P 1Y5 )
   
Elevator available? Yes   No  
   
Anticipated moving date *
I am moving with Children   Pets   Car  
Type of move Self paid move   Company paid move  

Details of Move
( e.g. List of items to be moved, number of boxes, furniture, any fragile items, any special requirements)
 

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