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