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LAB RELOCATION PROJECT MANAGEMENT SERVICE REQUEST FORM

We are the nation's premier research lab relocation project management service provider and look forward to being of assistance on your upcoming move. Please submit this form electronically by clicking the submit button at the bottom of this form. A lab relocation specialist will contact you within 24 hours of receipt.

Principal Investigators Name
Phone Number
Email Address:
Move Coordinator (if different)
Phone Number
Email Address:
Origin Location
Street Address:
Building Name :
Room Number :
Approximate move date :
Approximate square footage of lab and/or number of benches:
If possible, list major equipment being relocated:
Are there perishable materials to be shipped:	Yes \| No
Destination Location :
Street Address:
Building Name :
Room Number :
Contact At the Destination :
Phone Number
Email Address:

Whalen's Moving & Storage Co., LLC. will protect our customer's right to privacy and will not share any information about
you to any other organization unless required by law.