Uni-movers and logistics limited Plot 18’ Martyr’s Way Ntinda ORDER FORM

First Name:

Last name:

Middle Name

Initials

Telephone Numbers

Home

Work

Mobile

Fax

Postal Address:

Physical Address

Forwading Address

Town:

city

State:

Zip Code

Services

Packing Services Needed?

Yes No

Mode

Road Air Sea Inter Modal

Packing Relocation date

Nature of pack Out:

Insurance required?

Yes No

Crating Service required?

Yes No

Bill of Accounts

Company Self Other(Specify):

CLARIFICATION:Entitlements and Sponsor Details

Pets:

Yes No

Vehicles Included:

Yes No

Additional Details

Kindly furnish us with as much information as may be necessary for us to render to you a fully professional service.

Thank you for according 'Uni-Movers and Logistics Limted' the opportunity to be of service. Kindly be assured of our prompt response.