DOT: 2306227, MC: 787354, PUC:190959
This will certify and attest that shipper or shipper's representative as shown on Agreement For Moving Services and Bill of Lading dated ,with Civic Van Lines, Inc. DBA Shleppers Moving & Storage, requests additional services and charges as indicated below.
Please list all changes to the Agreement for service below:
Revised Not to Exceed Price:
Additional Cubic Feet:
Materials & Handling Charges:
Revised Final Price of Move:
Other than the changes noted above, all Terms & Conditions of the Agreement For Moving Services and or Bill of Lading shall remain the same.
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Document Name: Change Order For Service: Local Hourly & Binding (STAND ALONE)
Agree & Sign