Customer Survey Form

Estimated Move Date*

You can always update this information later.

Move From (ZIP Code)*

Move To (ZIP Code)*

Name*

Phone*

Email*

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Type of Move*

By pressing the submit button below, I give Piepho Moving consent to use automated telephone dialing technology to call and/or use SMS text messages at the phone number provided including a wireless number for telemarketing purposes. I understand consent is not a condition of purchase of Piepho Moving’s services.

How Did We Do?

Your Moving Coordinator and Estimator

Your Packers

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Delivery

Overall Evaluations

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