Bertsch Moving & Storage, Inc.




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Quote Request

Please fill out all fields as completely as possible.  If you have any questions, or comments, please feel free to call or email us.  Thank you.

Name

Company

Address

Apt. or Suite

City

State/Province

Zip Code
Telephone

Fax

Email

Send this request to theoffice.

Moving FROM:

City

State/Province

Moving TO:

City

State/Province

 

Moving Date:

Month Day Year

 

You live in a:

Apartment
House
Other

On floor:

1st
2nd
3rd
4th
5th

Other

 

Number of rooms with furniture to move:

1
2
3
4
5

Other

 

Special Items To Move:

Computer
Plants
Cars
Motorcycles
Pets
Boats

Other

 

Packing:

I'm packing myself
I'm unpacking myself
I would like my items packed for me
I would like my items unpacked for me

Other

 

How would you like us to contact you?

Telephone
Fax
Email
Regular Mail

Any other comments or questions?



AN

AGENT

Copyright 1999, 2000 © Bertsch Moving & Storage, Inc.
Another fine creation by Franklin & Associates.
Page last updated on:02/20/2000