LET’S WORK TOGETHER Name * First Name Last Name Email * Phone * (###) ### #### What services are you interested in? Moving Packing Mounting Crating Unpacking Preferred Date MM DD YYYY Which of these best describes your CURRENT address? House Apartment Office Building Storage Facility/Garage At your CURRENT address, how many steps are there to the top floor? 0-15 16-30 31-45 46-60 61 & Up Elevator Current address Enter Full Address Which of these best describes your NEW address? House Apartment Office Building Storage Facility/Garage At your NEW address, how many steps are there to the top floor? 0-15 16-30 31-45 46-60 61 & Up Elevator Address you are moving to Enter Full Address About how many rooms will we be moving? Bedroom Living Room Kitchen Dining Room Items Basement/Storage Outdoor Items Other About how many boxes will we be moving? 0-10 - Ex. Furniture Only 10-20 - Ex. Light studio/1 Bedroom Apartment 20-30 - Ex. 1-2 Bedroom Apartment 30-40 - Ex. 2 Bedroom Apartment, 1-2 Story House 40-50 - Ex. 2-3 Bedroom Apartment/House 50-75 - Ex. 3 Bedroom Row Home 75-100 - Ex. 4 Bedroom Row Home/Suburban House Will we need wardrobe boxes for the move Yes No Any pets on premises? * Yes No Have you used our services in the past? Yes No Notes Do you have any specific pieces of furniture that may be disassembled. Dressers with mirrors or multiple pieces. Thank you!
