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First Name: *
Last Name: *
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Contact Information
Requested Move Date: *
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Moving From: *
Residence Type: *
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House
Apartment
Office
Rooms: *
Moving To: *
Residence Type: *
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House
Apartment
Office
Rooms: *
Approx Box Count: *
Number of Appliances: *
Special Heavy Items:
Other Special Needs:
* Fields are Required
Please Note: Action Movers cannot guarantee the safe transport of unproperly packed items and are not responsible for any damage incurred. Whenever possible, please ensure fragile items and electronics (TVs, stereos, etc.) are securely packed in their original packaging.
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