CUSTOMER INFORMATION First Name: Last Name: Phone - Cell: Phone - Work: Email* Move Date*: MOVING FROM: LOCATION: Address: City: State: Zip: MOVING FROM: DESCRIPTION: If Apartment: —Please choose an option—Studio Apartment1 Bedroom Apt.2 Bedroom Apt.3 Bedroom Apt. If Townhouse: —Please choose an option—2BR Townhouse3BR Townhouse4BR Townhouse If House: —Please choose an option—2 BR House3 BR House4 BR House5 BR House If Storage Unit: —Please choose an option—5 x 10 ft Unit10 x 10 ft. Unit10 x 15 ft. Unit10 x 20 ft Unit20 x 30 ft unitOther Stairs?: —Please choose an option—1 Flight2 Flights3 Flights4 Flights Elevator?: —Please choose an option—Short CarryMedium CarryLong Carry MOVING TO: LOCATION: Address: City: State: Zip: MOVING TO: DESCRIPTION: If Apartment: —Please choose an option—Studio Apartment1 Bedroom Apt.2 Bedroom Apt.3 Bedroom Apt. If Townhouse: —Please choose an option—2BR Townhouse3BR Townhouse4BR Townhouse If House: —Please choose an option—2 BR House3 BR House4 BR House5 BR House If Storage Unit: —Please choose an option—5 x 10 ft Unit10 x 10 ft. Unit10 x 15 ft. Unit10 x 20 ft Unit20 x 30 ft unitOther Stairs?: —Please choose an option—1 Flight2 Flights3 Flights4 Flights Elevator?: —Please choose an option—Short CarryMedium CarryLong Carry INVENTORY: Living Area Details Sofa Beds? Couches? Love Seats? Oversized Chairs? End/Coffee Tables? Entertainment Centers? TVs? TV Stands? Stereos? Additional Living Area Items or Comments: INVENTORY: Dining Room Details Dining Tables? Chairs? Cabinets? Sideboards? Glass Tops? Marble Tops? Marble Size? Additional Dining Room Items or Comments: INVENTORY: Bedroom(s) Details King/Queen Beds? Single/Double Beds? Baby Cribs? Futon Beds? Night Tables? Dressers? Chest of Drawers? Armoires? Trunks? Mirrors? Additional Bedroom Items or Comments: INVENTORY: Office Details Desks? Office Chairs? Computers? Bookcases? Secretaries? File Cabinets? Additional Office Items or Comments: INVENTORY: Kitchen Details Microwaves? Refrigerators? Tables? Chairs? Cabinets? Additional Kitchen Items or Comments INVENTORY: Garage/Basement Details Washer/Dryers? Freezers? Gym Equipment? Bikes? Additional Garage/Basement Items or Comments INVENTORY: Patio Details BBQ Grills? Patio Tables? Lawn Chairs? Benches? Additional Patio Items or Comments INVENTORY: Miscellaneous Plants? Lamps? Rugs? Sculptures? Paintings/Pictures? Piano? NoYes If Yes, Piano Type? —Please choose an option—GrandBaby GrandUprightKeyboard Only Additional Miscellaneous Items or Comments: INVENTORY: Boxes (prepared by customer, ready to move) Large? Medium? Small? Additional Comments and/or Information We Need to Know?: Send print copy of estimate? YesNo
