|
Information About the Move |
| Date of Move * |
, |
|
| Type of Move* |
|
*required entry |
| Moving From-City, State ZIP * |
|
| Moving To-City, State, ZIP* |
,
|
| Approximate Weight (if known) |
|
Approximate Number of Rooms
|
| Type of Residence* |
|
If your home is a condo
or high rise,
what floor?
|
| Mode of Transport* |
|
Any packing to be done?
|
| |
|
|
How to Get in Touch With You |
 |
 |
 |
| Company |
|
| Name* |
|
| Street Address* |
|
| City, State ZIP* |
,
|
| email* |
|
| Phone Number* |
-
-
Fax
-
-
|
| |
|
|
List of items required for accurate quote (Type in the number of items) |
While it is not necessary to continue completing this form, the more detail you can give as to the items being moved, the more accurate estimate we can give you. If you prefer not to complete the rest of this form, please scroll down to insert any comments and then press the "Get Quote " button to send this request for a free estimate. |
Living Room |
| Wall Unit
|
Chest
|
Lamps
|
|
| Coffee Table
|
Bookshelf
|
End Tables
|
|
| Bookcase
|
Television
|
A/C Unit
|
|
| Sofa
|
Desk
|
Chairs
|
|
| Stereo
|
Cabinet
|
Loveseat
|
|
| |
Bedroom |
| Chest
|
Vanity Bench
|
Bed
|
|
| Bookshelf
|
Wardrobe
|
Lamps
|
|
| Vanity
|
Mirrors
|
Dresser
|
|
| Night Table
|
Armoire
|
Chairs
|
|
Kitchen |
| Baker's Rack
|
Dishwasher
|
Island
|
|
| Washer
|
Dryer
|
Microwave
|
|
| Stove
|
Refrigerator
|
Cabinet
|
|
| |
Dining Room |
| Dining Table
|
Buffet
|
Hutch
|
|
| Chairs
|
China Cabinet
|
|
|
| |
Boxes & Miscellaneous Items |
| Wardrobe Boxes
|
Pictures
|
Rugs
|
| Small Boxes
|
Medium Boxes
|
Lg. Boxes
|
| Comments |
|
| |
| |
| |
|