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Email
Address:
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Name: |
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Organisation: |
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Street
Address: |
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Address
cont: |
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City: |
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State/Province/County: |
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Zip/Postal
Code: |
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Country: |
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Work
Phone: |
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Home
Phone: |
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| What
is your destination city? |
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| Would
you like a 20 foot container or a 40 foot
container? |
| 20ft
Container |
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| 40ft
Container |
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| If
you are not sure which size you need, how
large is your home? |
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| Would
like the container brought to your residence
or just to the port of arrival? |
| Residence
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| Port
of arrival |
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| Are
you loading used household goods only? |
| Yes |
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| No |
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| Is
there room at your home to position the
container? |
| Yes |
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| No* |
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| *
please give details at end of form |
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| Would
you like a 'live load' or a 'drop and pick'? |
| Live
Load |
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| Drop
and Pick |
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| 'live
load' means that you will load the container
while the driver waits. 'drop and pick'
means that the driver will leave the container
at your home for up to 3 full days; this
costs more than a 'live load'. |
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| *Any
other information we may need? |
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| Where
did you hear about us? |
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