Please fill out the information, and you can either mail it to:
 
Union Moving & Delivery
3722 Pleasantdale Road
Atlanta, Georgia 30340
 
Or e-mail it to: unionmovingatlanta@yahoo.com
 
We thank you for your time
 
The Union Moving & Delivery Team
 
 
 
Your Name (or the name of the customer, if different):
 
Job Number:
 
Home Phone Number:
 
Work Phone Number:
 
Fax Number:
 
E-mail Address:
 
Moved From:
Address:
City
State and Zip Code:
Moved To:
Address:
City
State and Zip Code:
Present or Mailing Address (If Different From Above):
Address:
City
State and Zip Code:
Date Items Were Picked Up:
  Month / Day / Year
Date Shipment Was Delivered:
  Month / Day / Year
Method of Payment on Pick Up:
 
Method of Payment on Delivery:
 
Was Shipment Placed in Storage Over 1 Month?
Yes No
What Type of Valuation Was Your Shipment Moved Under?
60 cents/lb. per article (U.S. and Canada)
Declared Value Protection (U.S. only)
Extra Care Protection/Customer Transit Protection -
no deductible (U.S. and Canada)
Extra Care Protection - $250 deductible (U.S. only)
Extra Care Protection - $500 deductible (U.S. only)
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