Information
-
Date of Move
-
Customer Name
-
Job Number
-
Customer Phone Number
-
Alternate Number
-
Address Where Damage is Located
-
Customer's New Address
Damage Report
-
Damage Occurred To
-
Description of Damage
-
Manufacturer
-
Make/Model
-
Year Purchased
-
Store Where Purchased
-
Color
-
Pattern
-
Any More Damages?
-
Damage Occurred To
-
Description of Damage
-
Manufacturer
-
Make/Model
-
Year Purchased
-
Store Where Purchased
-
Color
-
Pattern
-
Any More Damages?
-
Damage Occurred To
-
Description of Damage
-
Manufacturer
-
Make/Model
-
Year Purchased
-
Store Where Purchased
-
Color
-
Pattern
-
TWO MEN AND A TRUCK will contact you within four business days to make arrangements to repair damages. Repairs depend on vendor requirements. Please provide us with a phone number to contact you between 9:00 AM - 4:00 PM weekdays.
-
Customer Signature
-
Two Men And A Truck Representative Signature
