121 STILLWATER ROAD, MAHOPAC, NY 10541
1-800-759-4253 | P 914-241-1711 | F 914-241-3148 | email: CAREFUL@MOVEWHALENS.COM
 
Whalen's Moving Storage Co., LLC  
Agent for Allied Van Lines
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    Whalen's - Forms & Documents

    PERSONAL RELOCATION SERVICE REQUEST FORM

     
    If you are paying for your relocation yourself but would like to take advantage
    of the Educational & Institutional Cooperative Services contract benefits, complete the form:
     
     
    Date:
    Name (and Spouse/Partner if applicable):
    Affiliated Institution:
    Current address:
    Additional materials from office/lab: YesNo
    Home Phone #:
    Office Phone #:
    Cell Phone #:
    Current E-Mail:
    Any additional pertinent information:
     
    Services Requested for:
     
      Approximate move date
      # of rooms of furniture being moved
    Check Desired Services
    Household Goods Move
    Packing containers Packing Unpacking
    Storage at movers warehousedays
    Automobile transport - include vehicle(s) description
    Extra pick-ups/deliveries
    Home Marketing Assistance - for more information visit http://eandi.myhomebenefits.com/
    Home Finding Assistance - for more information visit http://eandi.myhomebenefits.com/
    Temporary Housing - for more information visit http://eandi.myhomebenefits.com/
        

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    Whalen's - American Moving and Storage Association 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.
     
     
     
     
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