Please fill up your personal particulars for us to visit your premise for a free quotation.  
How did you get to know about Shalom?( Eg. Repeat Customer, Trucks, Internet)
Name: *
Tel: *
Handphone No: *
Fax No:
Email Address: *
Expected Date of Move:*
From (Address):*
Condo Name (If Applicable)
To (Address):*
Condo Name (If Applicable)
When is the requested date of site visit?
What is your requested time slot?
(Eg.HH:MM am/pm)
Additional Comments:
Note: Alternatively you may furnish us with your list of items.