Packing Materials Request Form
Name:
Address:
Address continue:
Origin City/Country:
Destination City/Country:
E-mail:
Phone:
Fax:
Cell Phone:
Type of Service:
door to door
door to port
port to door
Transportation Method:
by sea
by air
by land
Tentative Moving Date:
(For Example:08-10-2004)
Types of Carton
(Please tick besides the carton types you need)
Quantities
(please advise the quantities you need for each type)
Small Carton
Medium Carton
Large Carton
Flat Wardrobe
Hanging Wardrobe
Yellow Tape
Other materials specified as
(Please specify in the right column)
I need above material to be delivered to above home address on
(Please specify date/time)
( Time Day Month Year)
Other Remarks or Comments
(Please specify in the right column)
