1. Where are you moving from?
Address:
City:
State:
Zip Code:
Do You Require A Moving Permit?
Yes No Not Sure
Are you moving from a:
House? Apt? Condo? Other?
What floor(s) is your current dwelling on?
Is there an elevator?
Yes No
Please enter a few details about your current and future homes to help us get a more accurate estimate (optional).
2. Where are you moving to?
Address:
City:
State:
Zip Code:
Do You Require A Moving Permit?
Yes No Not Sure
Are you moving to a:
House? Apt? Condo? Other?
What floor(s) is your current dwelling on?
Is there an elevator?
Yes No
Please enter a few details about your current and future homes to help us get a more accurate estimate (optional).
3. Desired Moving Date:
Load Date:
AM PM Either
Deliver Date:
AM PM Either
4. General Moving Information (Moving From)
Are there stairs in front of the house?
Yes No
Est. distance from front door to truck parking space:
feet
Number of adults:
Number of children:
5. General Moving Information (Moving To)
Are there stairs in front of the house?
Yes No
Est. distance from front door to truck parking space:
feet
6. Room Information
(enter appropriate number of rooms)
Living Room(s)
Exercise/Playroom(s)
Dining Room(s)
Garage
Kitchen(s)
Basement
Bed Room(s)
Storage Unit
Den/Office(s)
Attic
7. Item Information
Are any goods antiques or of high-value?
Yes No
Will you need packing?
Yes No
If you require partial packing, please check the types of goods:
Artwork
Fragiles
Kitchen
Dining Room
Will you need storage?
Yes No Maybe
8. Specialty/Oversize X Items
Please check any of the following items to be moved:
Fridge
Freezer
Washer/Dryer
Big Screen TV
Grandfather Clock
Piano
Pool Table (wood)
Pool Table (slate)
9. Bedroom Items
King-Size Bed
Queen-Size Bed
Double Bed
Single Bed
Bunk Bed
Crib/Water Bed
Dresser
Armoire
Wardrobe
Night Table
Large Bookcase
Small Bookcase
Television
VCR/Component
TV Stand
Lamp
Hope Chest
Clothes Hamper
Large Carton
Medium Carton
Small Carton
Wardrobe Carton
10. Living Room Items
Sofa
Love Seat
Oversize Chair
Rocking Chair
End Table
Drop/Occ. Table
Coffee Table
Curio Cabinet
Large Bookcase
Small Bookcase
Television
VCR/Component
TV Stand
Floor Lamp
Armoire
Stereo Cabinet
Computer Desk
Secretary Desk
Computer
Ent. Center
Large Carton
Medium Carton
Small Carton
Wall Picture
11. Kitchen/Dining Room Items
Dining Room Table
Kitchen Table
Drop/Occ. Table
Microwave
Hutch (base)
Hutch (top)
Corner Cabinet
Baker's Rack
Chair
Server
Television
VCR/Component
Large Carton
Medium Carton
Small Carton
Wall Picture
12. Den/Office Items
Sofa
Love Seat
Futon
Chair
Large Bookcase
Small Bookcase
End Table
Coffee Table
Filing Cabinet (2dr)
Filing Cabinet (4dr)
Computer Desk
Large Desk
Desk Chair
Computer
Television
TV Stand
Entertainment Center
Lamp
Large Carton
Medium Carton
Small Carton
Wall Picture
13. Exercise/Playroom Items
Barbells (20 lbs)
Weight Bench
Stair Climber
Treadmill
Total Fitness
Stationary Bike
Toy Chest
Play Structure
Child's Table
Futon
Television
VCR/Component
TV Stand
Chair
Large Bookcase
Small Bookcase
Large Carton
Medium Carton
Small Carton
Wall Picture
14. Garage/Outdoor Items
Lawn Mower
Tractor Mower
Lawn Edger
Lawn Spreader
Power Tools (sm)
Power Tools (lg)
Toolchest (sm)
Toolchest (lg)
Yard Tools
Trash can
Work Bench
Storage Cabinet
Wheel Barrow
Garden Hose
Ladder (6')
Ladder (8')
Ladder (ext.)
Tire
Metal Shelves
Freezer
Wagon
Air Conditioner
Outdoor Table
Outdoor Chair
BBQ Grill
Bicycle
Baby Carriage
Play Structure
Sand Box
Swing Set
Golf Bag
Large Carton
Medium Carton
Small Carton
15. Contact Information
Name*
Phone Number (optional)
Email*
* required for estimate