| WHERE
ARE YOU MOVING FROM?
|
YOU
ARE MOVING OUT OF A:
ON THE
FLOOR THAT HAS
ELEVATOR
STAIRS |
| WHERE
ARE YOU MOVING TO?
|
| WHEN
ARE YOU MOVING? |
|
| WHAT
IS YOUR FIRST NAME: |
|
| WHAT
IS YOUR LAST NAME: |
|
WHAT
IS YOUR DAYTIME PHONE:
(Please
Include Area Code) |
|
WHAT
IS YOUR EVENING PHONE:
(Please
Include Area Code) |
|
| WHAT
IS YOUR EMAIL ADDRESS: |
|
| HOW
MANY BOXES WILL YOU HAVE? |
|
PLEASE
LIST YOUR LARGEST OR HEAVIEST ITEMS:
|
COMMENTS:
|
|
|