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     2004 Form

*
Indicates required fields (Must be filled in)

 General Information:
* Name:
   Company:
   Address:
   City:
   Province:
   Postal Code:
* 1st Phone:
   2nd Phone:
   Fax:
* Email:
 Moving Details:
 Moving From:
 Moving To:
* Moving Date *
 I would like a rep to call
 From:  To:
 Office:  Office:
 Warehouse:  Warehouse:
 Industrial:  Industrial:
 Elevator:   Elevator: 
 From:  To:
 Apartment:  Apartment:
 House:  House:
 Suite:  Suite:
 Townhouse:  Townhouse:
 Condo:  Condo:
 # of bedrooms:  


# of bedrooms:   

 Special Items:
 Comments:
 Payment Options
I would like to pay by Credit Card
I would to pay cash, certified cheque or money order
I would like to use my account
 

 Make certified Cheque/Money Order to:

 EZ Go Movers Ltd.
 Mailing Address
 18-145 Schoolhouse St.
 Coquitlam BC
 V3K 4X8
 Canada
   
 

 All information received from this form will be held in the strictest of confidence and will not
 under any circumstances be sold to any individual and or business what so ever.

 Staff at EZ Go Movers Ltd.

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