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Regency Moving: North
15433 Farm Creek Dr.
Woodbridge, VA 22191
PH: 703.497.1515
FX: 703.497.0100

Regency Moving: South
3002 Lafayette Ave.
Richmond, VA 23288
PH: 804.266.9090
FX:804.266.8777

Contact Us:
Email: Regency Moving

Directions To:
 Regency Moving North

Regency Moving South

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Contact Information

* Name :
* Home Phone: 555.555.5555
* Cell Phone: 555.555.5555
* E-mail:
* Contact Preference:

Estimate Information

* Address:
* City :
* State:
* Zip Code :
* Moving From (city/state):
* Moving From Zip Code :
* Moving To (city/state) :
* Moving To Zip Code
* Estimated Move Date: (mm/dd/yy)
* Type of Origin Residence:
* Type of Destination Residence:
* This move will be:

Services Interested In: (check all that apply)
Pack all belongings Pack fragile items only

* Current location of your belongings: (check all that apply)
House Townhouse Apartment/Condo Storage Unit

Are we able to park our truck(s) near your current home? Yes No

Are we able to park our truck(s) near your new home? Yes No

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List any items that need special packing:

Additional Comments:

* Would you like a Free In-Home Estimate? Yes No

U.S. DOT No. 494762
VA HG-481
 



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