Date of Move:
    Essential:  Move Date Required!

Type of Move:
Select type of service Local Home Move Office Move Warehouse/Storage

Moving From: (street, city, and zip)                                                      Size (in square feet)
  

Type of Residence:                                            How many floors:  
Please select one House Town house Condo Apartment High Rise                                        Please select 1 2 3 4 Other (explain in comments)  

Number of Rooms: (not just bedrooms)             Is there an elevator? 
Please select one 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20                                        Select one Does not apply, only 1 story Stairs Elevator    Very important!

What will be moved:                                          Is there a garage:
Select one Everything Large items only Partial move only                                         Select one no yes, 1 car yes, 2 car yes, 3 car yes, 4 car or more

If there is a garage, is it full of items to be moved: Please select one Full about half full very little to be moved none or almost none

Does the house have an attic: Select one no yes, but nothing to be moved yes, and it needs to be moved

Moving To:  (street, city, and zip)                                                         Size (in square feet)
  

Type of Residence:                                            How many floors:  
Please select one House Town house Condo Apartment High Rise                                        Please select 1 2 3 4 Other (explain in comments)  

Number of Rooms:                                            Is there an elevator? 
Please Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20                                              Select one Does not apply, only 1 story Stairs Elevator    Very important!

Approximant distance between locations:           Do you need Packing Services?
Select one less than 1 mile 2 to 5 miles 5 to 10 miles 10 to 20 miles 20 to 40 miles more than 40 miles                                       Select one Yes, including fine arts items Yes No

Does the move include any specialty items? such as:
Piano (upright or baby grand) Pool table  Large glass or marble items
Concrete statues  Hot tub  Wooden swing set/ fort
Fine Art (such as; Grandfather clocks, Oil paintings, Marble statues, Antiques, etc.)

Name:
 

Address:

City, State, Zip:

E-Mail Address:

Telephone Number:                       Best Time to Call:
          Select Morning Afternoon Evening

Notes or Comments, Special items, etc: