PICKUP/DELIVERY FORM

Name:

Telephone:

Email:

Moving Date:

Time:

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Pickup Address:

Contact Name:

Comment:

City:

Drop off Address:

City:

Contact Name:

Comment:

Will you provide your own helpers to load and unload the truck?

If not, How many ‘helpers’ do you needed?

PLEASE NOTE: By submitting this form, you recognize that we are not a moving company. We simply provide a pickup truck to assist you in small local pickup needs in the Chicagoland area. (If your pickup location originates or start outside of the Chicagoland area or past a 30-minute travel time, there is an additional ‘travel charge’ of $1 per minute that will be required for the Travel Fee.)  24-Hour Advance Notice Required.    No deposit refund will be issued if cancellation is less than 24 hours from pickup date. Rates does not include 8.75% Tax. Balance will be due upon arrival.

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