VIKING MOVING & STORAGE
Order for Serivce


JOB TYPE:
Local Interstate International Box Delivery
Pack Job Storage


CLIENT INFO:
Name:
Email:
Day Phone:
Evening Phone:
Fax Line:
Date of Move:


CURRENT ADDRESS:
Street:
Town: Zip Code:
What Floor Do You Live On? Is There an Elevator? Yes No
Number of Rooms: Years at Residence:
Density of Rooms: (please pick one) Heavy Medium Light
Approx. Feet From Parking to Door:
Items to move:


DESTINATION:
Street:
Town: Zip Code:
What of Floor: Is There an Elevator? Yes No
Approx. Feet From Parking to Door:
Special Instructions: