Valuation Request for Suburban Solutions Philadelphia

Valuation Request

The purpose of the form is to sign up for additional valuation coverage for an upcoming move with our Philadelphia Location

Name*
First Last
My Scheduled Move Date:*
Month
Day
Year
Email*
Deductible Amount*
- $0 deductible
- $250 deductible
- $500 deductible (default)
- Released Value / $.60 per pound
The Deductible amount represents the amount of money the shipper is responsible for prior to any claim being paid out.
*
- By checking this box I agree to the terms and conditions of full valuation coverage and I understand the claim process
- By checking this box I certify that I understand the exclusions to coverage
- By checking this box I understand that there may be additional out of pocket expenses depending on the size of the claim.
Name
This field is for validation purposes and should be left unchanged.

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Washington, DC
3000 Oak Drive
Kensington, MD 20895
301-928-8669

Philadelphia
2109 Bllemead Ave
Havertown, PA 19083
610-314-6868

State of PA – DBA

1810 Francis St
Philadelphia, PA 19130
610-314-6868

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"*" indicates required fields

First & Last Name*

Phone*

Email*

Estimated Move Date*

Location*

# of Bed Rooms

Est. Square Feet

Moving From Address or City*

Moving To Address or City*

Additional Services

Junk Removal

Packing Services

Packing Supplies / Moving Boxes

Move Out Clean (PA Area only)

Power Washing (PA Area only)

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Page Title

Email

This field is for validation purposes and should be left unchanged.

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