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Your Contact Details |
| Title: |
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| First Name: |
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| Last Name: |
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( * ) |
| Address: |
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| Zip Code: |
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| City: |
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( * ) |
| Country: |
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( * )
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| Branch |
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| E-mail: |
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( * ) |
| Phone: |
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( * ) |
| Work Phone: |
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| Fax: |
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| Your Move |
| Destination City: |
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( * ) |
| Zip Code: |
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| Estimated date of departure: |
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| Country: |
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( * )
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| Branch |
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| Does your company take on the expenditure? |
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| If so, which company? |
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Notes
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| Additional Information |
| Is there any difficulty to
access your new home (parking lot, stairway, gates etc...)? |
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| Estimated value of your belongings moved? |
(indicate the currency) |
| Have you already use the AGS Four Winds Services
for a move? |
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Your Storage |
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Do you plan any period of storage? |
| Estimated date of entry into storage: |
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| Estimated period of storage: |
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| Estimated date of loading: |
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| Does your company take on
the expenditure? |
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| If, so which company: |
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| Do you want AGS Four Winds to pack your
belongings? |
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| Do you know the volume to
be packed? |
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Estimated volume
cubic meters |
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Inventory List