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    First Name (required)

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    Moving From

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    Include Street Address, City, State, & Zip Code

    Moving To

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    Timeframe of when to move? (Optional)

    Do you need packing of breakables? (Optional)

    Do you need storage? (Optional)

    Estimate How Many Rooms of Furniture We Are Moving? (Optional)

    What is the heaviest item we would handle? (optional)

    Are we handling appliances? Which ones? (optional)

    Are we moving exercise equipment? (optional)

    What is the most important thing you own? (optional)

    Notes to share? (optional)