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Please Fill in All Blanks on this form. The more information you provide us with, the more accurately we will be able to estimate your needs. When you are finished click on the "SUBMIT" button at the bottom of the form.

Last Name:  (Required)
First Name:  (Required)
E-Mail Address:  (Required)
Phone: 
Estimated Move Date:   (Required)
 

Type of Move: (Required)
Household Office Move Trade Show
Electronics International Auto Only

Shipment Information: (Required)

ORIGIN:
City State Zip Country

DESTINATION:
City State Zip Country


Household Move Information: (Please check all that apply)
Bedrooms: 1 2 3 4 5 6 or More
Living Room Dining Room Kitchen
Family Room Den/Office Garage
Basement Attic
# of Cars Piano (s) Motorcycles Boats

Office Moving Information:
Number of Employees Relocating:  
Old Facility Square Footage:  
New Facility Square Footage:  
Type of Business you are in  
Please add any other pertinent information below in our "comments" section.

Electronics & Trade Shows:
Number of Pieces in Shipment:  
Loading Dock / Fork Lift at Origin ?  
Loading Dock / Fork Lift at Destination ?  
Please include weights and dimensions of above pieces in our "comments" section.

List all Special Handling Instructions that might be pertinent to service your Show or Shipment properly. (i.e. Dock Times, Climate Control Needed, Liftgate Truck
Required, etc.)

IMPORTANT INFORMATION:
Please Note: All pricing information returned to you by our company should be considered just a preliminary estimate. To properly estimate your move would require an on-site survey of your home or business. All surveys would be done free of charge with no cost or obligation to you. Survey appointments will be done at your convenience.

If you would like to set up a survey appointment with one of our representatives, please include your telephone number, address, and times that you are available below in our "comments" section. We will contact you the next business day to set up an appointment at your convenience.
Comments:

I would like to receive my proposal in the following format:

Via E-Mail Fax Me Return Phone U.S. (Snail) Mail
ALL INQUIRIES WILL BE ANSWERED NO LATER THAN THE NEXT BUSINESS DAY. IF YOU REQUIRED AN IMMEDIATE ANSWER, PLEASE PHONE US AT 1-800-222-0327.

Thank you for visiting www.centralmoving.com

  

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Central Moving Systems, Inc.
270 Foothill Road - Bridgewater, NJ 08807
1-800-222-0327
Phone: 732-764-0405
Fax: 732-764-9750

Copyright 2003 by Central Moving Systems, Inc.