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Budgets

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*Name:
Your complete name.

 

 

*Email:

 

 

*Telephone:

 

 

*Origin:
City and country from which you're moving.

 

 

*Destination:
City and country you're moving to.

 

 

Forseen date for the move:
When are you thinking about moving?

 

 

Company:
Leave blank if you don't represent a company.

 

 

Number of divisions of your residence:

 

 

Are there fragile items that require additional care?

 

 

Is there any detail or comment you would like to add?

 

 

 

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