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Company Name
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Name
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First
Last
Phone Number
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Email
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Please leave email or phone number So we can respond to request for quote
Type of Vehicle - weight - LxWxH
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Car/Van max 3,500lbs. 8'x4'x4'
Box Truck max 12,500lbs. 26'x7.5'x7.5'
Flat Bed max 32,000 lbs. 24'x8'x8'
not sure - will leave dimensions in additional information area
Approximate Weight in lbs./kg.
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Pick up location
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Include zip/postal code where possible
Drop off location
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Include zip/postal code where possible
Additional information
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Please provide any additional information ie. lift gate required, tarp required, over width permit needed
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