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37
Questions
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1
SELECT YOUR NEED
HOME/SHOP/FACTORY MOVER
FACTORY ITEM DELIVERY
OTHER
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2
SELECT YOUR NEED
HOME/SHOP/FACTORY MOVER
FACTORY ITEM DELIVERY
OTHER
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3
Address
*
This field is required.
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4
LORRY SIZE
*
This field is required.
1 ton 10ft
3 ton 14ft
5 ton 17ft
10 ton 25ft
40ft
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5
LORRY SIZE
*
This field is required.
1 ton 10ft
3 ton 14ft
5 ton 17ft
10ton 25ft
40ft
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6
LORRY SIZE
*
This field is required.
1 ton 10ft
3 ton 14ft
5 ton 17ft
10 ton 25ft
40ft
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7
LORRY SIZE
*
This field is required.
1 ton 10ft
3 ton 14ft
5 ton 17ft
10 ton 25 ft
40 ft
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8
LORRY SIZE
*
This field is required.
1 ton 10ft
3 ton 14ft
5 ton 17ft
10 ton 25ft
40ft
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9
LORRY SIZE
*
This field is required.
1 ton 10ft
3 ton 14ft
5 ton 17ft
10 ton 25ft
40ft
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10
LORRY SIZE
*
This field is required.
1 ton 10ft
3 ton 14ft
5 ton 17ft
10 ton 25ft
40ft
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11
Date & time
*
This field is required.
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12
MANPOWER
NO NEED
2PAX ( 1 DRIVER 1 ASSISTANT)
3PAX (1 DRIVER 2 ASSISTANT)
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13
MANPOWER
NO NEED
3 PAX ( 1 DRIVER 2 ASSISTANT)
4 PAX ( 1 DDRIVER 3 ASSISTANCE)
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14
MANPOWER
'
NO NEED
4PAX (1 DRIVER 3ASSISTANT)
5PAX (1DRIVER 4ASSISTANT)
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15
MANPOWER
NO NEEED
2PAX ( 1DRIVER 1 ASSISTANT)
3PAX ( 1 DRIVER 2 ASSISTANT)
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16
MOVER
HOME/SHOP/FACTORY MOVE ?
HOME MOVER
SHOP MOVER
FACTORY MOVER
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17
BY PALLET OR LOOSE ?
PALLET LOOSE
Please Select
PALLET
LOOSE
Please Select
Please Select
PALLET
LOOSE
COLLECTION BY
Please Select
PALLET
LOOSE
Please Select
Please Select
PALLET
LOOSE
DELIVERY BY
QUANTITY
Please Select
PALLET
CARTON
BUNDLE
Please Select
Please Select
PALLET
CARTON
BUNDLE
TYPE
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18
TYPE OF BUILDING FACTORY COLLECTION
FACTORY LOT
SHOP LOT
SHOPPING MALL
SITE
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19
TYPE OF BUILDING HOME COLLECTION
SINGLE STORY
DOUBLE STORY
APPARTMENT
FLAT
BUNGLOW
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20
FACTORY LEVEL OF COLLECTION
GROUND FLOOR
LOADING BAY
LEVEL 1
LEVEL 2
LEVEL 3
LEVEL 4
LEVEL 5
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21
COLLECTION POINT USING LIFT OR STAIRS ?
*
This field is required.
LIFT
STAIRS
OTHER
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22
COLLECTION POINT USING LIFT OR STAIRS ?
*
This field is required.
LIFT
STAIRS
OTHER
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23
LEVEL OF COLLECTION
GROUND FLOOR
LOADING BAY
LEVEL 1
LEVEL 2
LEVEL 3
LEVEL 4
LEVEL 5
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24
TYPE OF BUILDING HOME DROP POINT
SINGLE STORY
DOUBLE STORY
APPARTMENT
FLAT
BUNGLOW
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25
TYPE OF BUILDING FACTORY DROP POINT
FACTORY LOT
SHOP LOT
SHOPPING MALL
SITE
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26
DROP POINT USING LIFT OR STAIRS ?
*
This field is required.
LIFT
STAIRS
OTHER
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27
LEVEL OF DROP POINT
GROUND FLOOR
LOADING BAY
LEVEL 1
LEVEL 2
LEVEL 3
LEVEL 4
LEVEL 5
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28
DROP POINT USING LIFT OR STAIRS ?
*
This field is required.
LIFT
STAIRS
OTHER
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29
LEVEL OF DROP POINT
GROUND FLOOR
LOADING BAY
LEVEL 1
LEVEL 2
LEVEL 3
LEVEL 4
LEVEL 5
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30
Name
*
This field is required.
First Name
Last Name
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31
Email
example@example.com
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32
Phone Number
Please enter a valid phone number.
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33
Chat with us
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34
ITEM PICTURE
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
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35
Total
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36
PAYMENT OPTION
PAY FULL
DEPOSIT
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37
Total
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38
PAYMENT
*
This field is required.
prev
next
( X )
Description
MYR
+ OR enter a custom value
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Should be Empty:
HAFIY TRANSPORT AGENCY
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