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Cosmopolitan Canine Carriers, Inc. - Global Pet Relocation Specialists since 1972 - - Estimate Request Form- Tell Us Who You Are First Name Last Name Phone Number Fax Number E-Mail Address Approximate Move Date January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2008 2009 2010 Where Are You Moving From? Current Address Apt. / Unit # City County State -----------Not Applicable----------- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming Country Zip Code Where Are You Moving To? New Address Apt. / Unit # City County State -----------Not Applicable----------- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming Country Zip Code Tell Us About Your Pets Number of Dogs 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Breed of Dogs Weight of Dogs Number of Cats 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Weight of Cats Number & Type of Other Pets Are We To Supply The Following Pet Traveling Containers ? No Yes Health Certificates ? No Yes Vaccinations ? No Yes Your Pet Traveling Container Information If you have pet traveling containers, what are their dimensions? 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Small Containers (21" L x 16" W x 15" H) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Medium Containers (27" L x 20" W x 19" H) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Intermediate Containers (32" L x 22" W x 23" H) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Large Containers (36" L x 24" W x 26" H) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Extra Large Containers (40" L x 27" W x 30" H) 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Jumbo Containers (48" L x 32" W x 35" H) Number & Dimensions of Non-Standard Containers Comments or questions ? Please be patient and click the submit button only once.