Maryland Moving Company























					MC 585664 - B





	We Service The Following States:

	AL, AK, AZ, AR, CA, CO, CT, DE, DC, FL, GA, HI, ID, IL, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MT, NE, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WI, WY


		Maryland Moving Company

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American Van Lines
10545 Guilford Rd., Suite 110
Jessup, MD 20794
Phone: 800-338-9361
Fax: 800-360-7962

DOT 1171518 MC 471547

American Van Lines
1531 Kirkwood Road
Gwynn Oak, MD 21207
Phone: 800-338-9361
Fax: 800-360-7962

DOT 1696845 MC 623033

Your Information

Move Date

First Name

Last Name

Daytime Phone

Evening Phone

E-Mail

Moving From

Street
City	*
State	*
Zip

Moving To

Street
City	*
State	*
Zip

Additional Information

Notes / Comments:

All intrastate moves in Maryland will be performed by the shipper’s selected affiliate moving company. All members of the American Van Lines™ team of affiliates are independently, owned, operated, licensed and insured professional moving companies. American Van Lines’™ moving consultants work directly for the team of affiliated moving companies as independent contractors. The moving consultant assigned to your move is a direct representative of the team member affiliate moving company handling your move.