DOT: 2306227, MC: 787354, PUC:190959

Change Order For Service

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.

Shippers Name:  

Job #:  

Please list all changes to the Agreement for service below:

Revised Not to Exceed Price:  

Additional Cubic Feet:  

Materials & Handling Charges:  

Other:  

Other:  

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.

Leave this empty:

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Signature Certificate
Document name: Change Order For Service: Local Hourly & Binding (STAND ALONE)
lock iconUnique Document ID: b7dbdad1d5481d30033253ab3d105b29813a2d0a
Timestamp Audit
January 18, 2022 8:53 am PDTChange Order For Service: Local Hourly & Binding (STAND ALONE) Uploaded by Shleppers Moving & Storage - info@shleppers-ca.com IP 99.6.251.203