Inquiry :
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Customer Name:
Customer Add.:
Tel No.:
Preferred Packing Date (mm/dd/yy):
Preferred Moving Date (mm/dd/yy):
Arrival Date at Dest. (mm/dd/yy):
Mode of Shipment:
Air    Sea    Storage
Moving From:
Moving To:

Do you want a survey of goods done at your residence?
Yes     No

What is the estimated size of your shipment?
Brief description of goods to be packed and shipped:
Any special requirements: