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Zu's HAUL Company
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Intake form-1
Help us serve you better
Name
*
Email address
*
What type of goods do you need to pack and transport?
Please select at least one option.
Electronics
Clothing
Household Items
Furniture
Food and Beverages
Fragile Items
What is the volume of goods you need to pack and transport?
What is your preferred method of transportation?
Select
Road
Air
Sea
Rail
What is the destination for the goods?
Do you require storage services?
Select
Yes
No
What is the desired pickup date?
What is the desired delivery date?
Do you have any special requirements or instructions?
Which service or services are you interested in?
Please select at least one option.
Reliable transportation services
Secure storage solutions
Primary package
Standard package
Special Order package
What is your phone number?
What is your company name?
What is your address?
How did you hear about us?
Select
Social Media
Search Engine
Referral
Advertisement
What type of packaging do you prefer?
Please select at least one option.
Boxes
Bags
Crates
Pallets
Custom Packaging
What is the nature of the goods?
Please select at least one option.
Fragile
Perishable
Heavy
Electronics
Clothing
Furniture
What is your budget range for these services?
Select
Under $100
$100 - $500
$500 - $1000
Over $1000
What is your preferred method of communication?
Please select at least one option.
Email
Phone
Text Message
In-Person
Additional questions or comments
Submit
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