Royal Moving & Storage Inc.

Request for Estimate:

Please provide the following information for your move. Our moving consultant will
contact you within 24 hours to obtain more specifics and provide you with an estimate
for your relocation.

Contact Information (Item with * is mandatory)

Name*	Mr. Miss. Mrs.
Phone No*	Cell Home Work
	Cell Home Work
Fax Number
Email*	Preferred Contact By* Phone E-Mail
Address1*	Moving From Moving To
Address2
City*
Province/State
Country*
Postal/Zip

Move Details

Expected Move Date*	dd mm yyyy
Type of Move*	Company Relocation Immigrate/Emigrate Work Contract Other
Type of Residence*	Detached House Townhouse Apartment
Need Packaging Service?	Yes No
If "Yes", need	Full Packing Partial Packing
Need Temporary Storage?	Yes No
If "Yes", how long?	days weeks months
Have Automobile?	Yes No
Additional Remarks