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Columbus
Warehouse & Storage
2412 Hwy 69 South
Columbus, MS 39702
* = required field
Move Date:
Pickup ZIP:
Delivery ZIP:
Dwelling Type:
1 Bedroom Apartment
2 Bedroom Apartment
3+ Bedroom Apartment
1 Bedroom House
2 Bedroom House
3 Bedroom House
4+ Bedroom House
Studio
Small Move (1000) Pounds
Small Move (2000) Pounds
Salutation:
Mr.
Mrs.
Ms.
Miss
Dr.
First Name:
*
Last Name:
*
E-Mail Address:
*
Residence
Phone:
*
Business
Phone:
Contact me by:
Phone
Email
Pick Up Address
Street:
Apt #:
City:
State:
Country:
Delivery Address
Street:
Apt No.:
City:
State:
Country:
Will
destination
residence
be ready:
Yes
No
Will temporary
storage be needed:
Yes
No
Type of move:
Self Paid
Employer Paid
If employer
paid, who
is employer:
Questions
or
Concerns
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