Att to ECONOMOVE JAPAN CO.,LTD.

I hereby confirm the moving contract according to the following condition and employ ECONOMOVE JAPAN CO.,LTD.
I will pay the final moving charge according to the final meansurement and weight reported by you to the following bank account.

Name of bankSumitomo Mitsui Bank
branchIzumi branch（branch code 177）
Account numberFutsu 1518743
Name of accountECONOMOVE JAPAN CO.,LTD.

（* This mark is necessary info）

Your data

Estimate #
Dated
Given name　*
Family name　*

Billing address

Individual 　　Corporate 
Name of company　※1
PIC　※2
Billing info　※3zip　　Address　
TEL
FAX
E-mail
※1 In case individual billing, name of company is not required to fill.
※2 In case the name of person will be defferent from you even if individual billing, please fill.
※3 In case the billing address will be different from your original locatio, please fill.

Ordered type of moving　*

Standard door to door
Standard door to port
Self door to door (Serviced only from Japan to abroad.)
Self door to port (Serviced only from Japan to abroad.)

Required volume　（Only the self pack customer is required to fill）

1.0 cubic meter ( equal to 35 cubic feet )
1.5 cubic meter ( equal to 70 cubic feet )
2.0 cubic meter ( equal to 105 cubic feet )
Custom made carton required

Please fill in the size of the custom made carton required
first carton　cm long ×cm width ×cm height　/　second carton　cm long ×cm width ×cm height

Required insurance

Not required↓Please fill the required insurance premium amount.
Best plan Min insurance premium JPY7500 (covering JPY333,000) Amout to be insured *150%*1.5%
Normal plan Min insurance premium JPY5000 (covering JPY333,000) Amout to be insured *100%*1.5%
Economy plan Min insurance premium JPY2000 (covering JPY400,000) Amount to be insured*100%*0.5%
※ Self pack client is only entited to select "Economy plan" !!

Origin information

Country
zip 　　Address * 
Type of residence　 house　 Mansion/Apartment (Elevator 　 yes　 no)
Home tel * Daytime tel
Home faxWork fax
Home e-mail * Work e-mail

Destination contact address

Country 　　name of company
Address
Att.e-mail
TELFAX

Delivery address　（you can only fill here if you are decided with your living location.）

zip
Address
TEL

Schedule　（Only a Self pack cleint is required to fill）

(3 days notice will be required)Sunday delivery available without additional cost
Required date for delivery of empty outer carton
Hours　 9:00 - 12:00　　 12:00 - 15:00　　 15:00 - 18:00

Sunday pick-up available without additional cost.
9:00 to 12:00 pickup isn't available on Weekdays.Sunday pick-up is basically in 9:00 to 12:00.
Required date for pick-up ot outer carton after they are paked
Hours　 9:00 - 12:00　　 12:00 - 15:00　　 15:00 - 18:00

Schedule　（Only a Standard pack client is required to fill.）

Sunday delivery available without additional cost.
Small carton delivery date
Hours　 9:00 - 12:00　　 12:00 - 15:00　　 15:00 - 18:00
　
First optionSecond option
Packing date Packing date
Hours　 9:00 - 12:00
12:00 - 15:00
15:00 - 18:00		 Hours　 9:00 - 12:00
12:00 - 15:00
15:00 - 18:00

For all clients required ti fill

Planned date of leaving origin country
Planned date for entry to the destination country
Transformer order　Not required Required　
(If required, please click "Transformer order" in next page after you click the submit button which in downward.)