Moving Quote Request Form

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Name

First

Last

Email

Telephone Number

Departure Address

– Piazza way: – House number: – POSTAL CODE: – City: – Province:

Destination Address

– Piazza way: – House number: – POSTAL CODE: – City: – Province:

Preferred Moving Date

Type of Property (Departure)

– Apartment – Indipendent house – Office – More…

Property Plan (Departure)

Floor:

Elevator Available (Departure)

Type of Property (Destination)

– Apartment – Indipendent house – Office – More…

Property Plan (Destination)

Floor:

Elevator Available (Destination)

Number of Boxes

Furniture to be transported (specify dimensions and quantity):

– Tables: – Seats: – Wardrobes: – Beds: – Sofas: – Other Furniture …

N. Tables

N. Seats

N. Wardrobes

N. Beds

N. Sofas

N. Other Furniture

Fragile Objects (specify):

Additional Services Required:

Further Information or Requests

Agreement

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