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NAME: _________________________________________ PHONE: ____________________________ EMAIL:_____________________________ MAILING ADDRESS: Street wt number or PO: ________________________________________________ City: ________________________________ State: ______________ Zip: _____________ |
Print out this form Make check payable to Island Moving Co. Send check and order form to Island Moving Co PO Box 746 Newport RI 02840 Or charge to Visa or MasterCard (circle one) by filling out form and mailing to address above Account________________________________ Signature______________________________ For additional information call 401-847-4470 | ||||||||||||||||
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