Jay's Moving and Storage

Rate Request

To obtain a quote, or for more detailed information, contact the office nearest you and our representative will be pleased to assist you.

Or you can submit this e-mail request, and our branch rep will contact you on the next working day.

Contact Information:

Name:
E-Mail:
Title:
Company:
Address:
City:
Province / State:
Postal / Zip:
Phone:	( ) -
Fax:	( ) -
Please contact me by:


Origin:

City:
Province / State:


Destination:

City:
Province / State:


Commodity Information:

Commodity:
Weight:
# of Pieces:
Pallet:	Yes No
Stackable Pallet:	Yes No
Size (LxWxH):	x x
Equipment:	Temp. Control Dry Van Open Deck
Dangerous Goods:	Yes No
Declared Value:


Other Comments: