MUSEUM SERVICES
ESTIMATES
Please Fill out all that is applicable in the form below
Contact Information
Full Name:
Phone Number:
Email Address:
SHIPPING
Pickup Address
Where will the shipment originate?
Address *
City *
State
State
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Conneticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
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Rhode Island
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South Dakota
Tenessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Zip Code *
Latest Shipment can be picked up?
Residence
Business
Freight Elevator
Power Tailgate Needed
Loading Dock
Stairs
How Many?
Delivery Address
Where will the shipment be delivered?
Address *
City *
State
State
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Conneticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maryland
Massachusetts
Maine
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tenessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
Zip Code *
Latest Shipment can be delivered?
Check all that apply:
Residence
Business
Freight Elevator
Power Tailgate Needed
Loading Dock
Stairs
How Many?
Please describe the items that are to be shipped
Dimensions in inches
(height x width x depth),
medium, shape & artist
Will the items require packing?
Yes
No
Will installation be required?
Yes
No
Will you require Museum Services to insure the shipment?
Yes
No
If yes, total value (in US Dollars):
Type of Service:
Shuttle
Exclusive Use
CRATING
Description of Item(s)to be Crated
Number of Items
Medium
Dimensions
1. height
x width
x length
2. height
x width
x length
3. height
x width
x length
4. height
x width
x length
Approx. Weight
Copyright © 2006 Belk's Museum Services, Inc. All rights reserved.
_______________________________________________________________________________________________________________
Museum Services | 2921 Como Avenue SE | Minneapolis, MN | 55414 | Ph: (612) 378-1189 Fax: (612) 378-0831 | museumservices@visi.com