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  GENERAL INFORMATION:
First Name :
 E-mail :
 Last Name :
 Phone :
  MOVING FROM:   MOVING TO:
 Address:
 City:
 State:
 Zip:
 Address:
 City:
 State:
 Zip:
 Elevator: Yes No
  # of Floors:
 Elevator: Yes No
  # of Floors:

 How did you hear about uss?

  LIVING ROOM:
  Bookcase   Sofa, loveseat
  Cabinet   Sofa, large
  Chair, straight   Stereo
  Chair, arm   Tables, coffee
  Chair, rocker   Tables, end
  Chair, overstuffed   TV, up to 30"
  Entertainment center, medium   TV, larger than 30"
  Entertainment center, large   VCR
  Lamps   Piano
  Pictures   Chest, cedar
  Rugs  
  DINING ROOM:
  Buffet (base)   Chair
  Hutch (top)   Server
  Cabinet, corner   Pictures
  Rug (small)   Dining table
  Rug (large)  
  BEDROOMS:
  Bed, single   Dresser, single
  Bed, double   Dresser, double
  Bed, queen   Dresser, triple
  Bed, king   Night table
  Bed, bunk (set 2)   Pictures
  Bookshelves (sectional)   Lamps
  Chair   TV
  Rug (small)   Chest, armoire
  Rug (large)  
  NURSERY:
  Bed, youth   Crib, baby
  Chest, toy   Table, child's
Comments:


What type of coverage is offered for lost or damaged items?
Included in the price quoted to you is Transit Protection of $.60 per pound per article on anything that is lost or damaged. If you would like more coverage than that, you can declare the value of your entire shipment. It will cost $35 for the first $1,000 of Declared Value and $25 for each additional $1,000. For example, if your bedroom set is worth $3,000 and you want full coverage for it, it would cost $85 for $3,000 worth of coverage.



CONTACT US :
Call Us: 508-735-2280
E-mail Us: Vanmanmove@yahoo.com

Ma. license # 31445   DOT#1805436   ICC#656260