Smyth Moving Service Inc.
Please fill complete the form  and then click the "Register Shipment" button at the bottom.
General Information

Smyth Moving Service Inc.
Online Military Registration Form
For Registering Military Shipments Only

Order Type:    GBL # :


Order Number:

Shipment Code:

  Account #
Customer Name: 

 (Last, First, Middle I.) 		Military Rank:
Origin Information
Origin Address:

 Street Address, City, State and Zip Code		 Origin Military Base:
 Origin GBLOC:
Origin Agent and Code #:
Origin Phone(s) and /or contacts
Destination Information
Destination Address:

 Street Address, City, State and Zip Code		 Dest. Military Base:
 Dest. GBLOC:
Destination Agent and Code #:
Destination Phone(s) and /or contacts
Packing Dates
 Load Spread or Date
 Delivery Spread or Date
SS# (if required)
 Hauler (self-haul)
 Driver 
 Est. Linehaul 

(after discount applied)
Weight
 Discount %
 Total Charges

 (COD only)
Miles
 Tariff
 Valuation Type 
 		Amt.
$
Special Requirements:

Comments:

Person Registering @ Your Agency: