Moving Survey Form | Rate REQUEST FORM

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RATE REQUEST FORM
Name:  
Address:  
Address 2:  
City/Country - Origin:  
City/Country - Destination:  
E-mail:  
Phone:  
Fax:  
Cell Phone:  
Type of Goods:   Household Goods ( )    Office Items/Equipment ( )
Type of Service:  door to door  ( )   door to port ( )  port to door ( )
Transportation Method: by sea  ( )   by air ( )   by land ( )
For big quantity of goods to move, We are happy to arrange for a FREE pre-move survey at your home, please specify your preferable date and time:  
for a smaller consignment, please provide us an approximate weight or volume of your total items  :     weight  ( )     volume:  ( )

Furnished Rooms in your household.

How many bedrooms ?  

Furnished Rooms in your household. Select any of the following options that apply:  

kitchen
living
dining  
play room
office  
garage
study  
patio
attic  
basement

Any unusual items, special requests?  

Do you need more information on specific relocation requirements? If so, please specify here : (     )

Please tick if Storage is required  yes ( ) No (  )

Expected Date of Move  

Who will pay for move company (name)
  
personal  

When should we contact you  

Did you use any Mover in past  yes ( ) no ( )
If Yes please provide Name  
Your last moving experience  

- Urgent      yes　　  no

More Comments  ?

Please copy and paste and reply above all contents to our mailbox : info@cemovers.com

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