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M-H8 AM to 8 PM CT
F8 AM to 6 PM CT
SAT8 AM to Noon ET
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  General Shipping Information
Estimated Date of Move
Carrier Type
Quote or Customer Id Number:
- Found in quote email. Example: 505310019
Customer Name:
- The name of the person arranging the transport.
Customer Phone Number:
  Origin Information
Origin Contact Name:
Contact Phone:
Other Phone: (optional)
Street:
(optional)
Origin City:
Origin State:
Zip Code

  Destination Information
Destination Contact Name:
Contact Phone:
Other Phone: (optional)
Street:
(optional)
Destination City:
Destination State:
Zip Code

  Vehicle Information
Vehicle Last 6 of VIN: Year: Make: Model: Color:
One
Two

Please Describe Vehicle Running Condition:


  Authorization and Agreement to Terms
Yes, I have received, read and understand the shipping agreement general previsions of Specialty Mobile Systems, LLC. I agree to pay the shipping cost agreed upon in the quote and understand that the deposit is non-refundable. I also understand that the COD amount must be paid upon receipt of the vehicle and that only cash or cashiers checks are accepted for the COD.


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