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Name : * Mr Mrs Miss   First name : Phone number: *   Cellular phone : Email : *   Contact me preferably : Phone number Cellular number morning afternoon evening whenever you want You move from : to : Adress : *   Adress : Department : *   Department : City: *   City : Zip code: *   Zip code : Country : *   Country : * Elevator : oui non   Elevator : oui non Floor :   Floor : Moving : Envisaged move : (dd/mm/yyyy) Offers : The mover wraps nothing he mover wraps everything The mover wraps what is fragile Motives of move : Retirement Mutation Other Financing : Financed by myself Financed by my firm Type of move : Choose... Little 1 room Big1 room 2 rooms 3 rooms 4 rooms More 4 rooms Comments : (Volume, particular objects etc.) Necessity of storage : oui non

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