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COLLEGE MOVE-IN QUOTE - GEAUX CRATES
Information needed for Residential Move, please fill out ALL fields.
*
Indicates required field
Client Name:
*
First
Last
Cell Number:
*
Primary Email:
*
Pickup Date (mm/dd/yyyy):
*
Enter the Date in format listed above. This is the Day / Date that you want the crates delivered.
Return Date (mm/dd/yyyy):
*
Enter the Date in format listed above. This is the Day / Date that you want the crates Picked-Up.
Parent's Main Address:
*
Line 1
Line 2
City
State
Zip Code
Country
SCHOOL ATTENDING
*
Crate Package Required:
*
0 Crates
Package 1 (10 Crates)
Package 2 (20 Crates)
Package 3 (40 Crates)
Custom Order Crates
Days Required:
*
7 Day Rental
14 Day Rental
Custom Rental Period
Check one of the following boxes.
Additional Information:
*
None
1st Floor (Building / House / Apt)
2nd Floor (Apt or Building)
3rd Floor (Apt or Building)
4th or Higher (Apt or Building)
Service Elevator
Steps Leading to House or Apt
Security Gate (need code)
Other (add to comments)
Check ALL Boxes that apply. Additional Fees may apply.
Comment:
*
Additional Moving Supplies:
*
None
Zip Ties ($10.00 per pack / 10-pack)
Packing Paper ($20.00 per pack)
Bubble Wrap ($25.00 per roll)
Wardrobe Boxes ($25.00 per box)
Mattress Covers ($20.00 each)
Check ALL Boxes that apply. Additional Fees may apply.
How Did You Hear About Geaux?
*
Google
Yahoo
Bing
Yelp
Realtor (List Name Below)
Loan Officer (List Name Below)
Title Company (List Name Below))
Friend (List Name Below)
Family
Other -
Other
*
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