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Estimate Form
Contact info:
* First name:
Last name:
* E-mail address:
* Home phone:
Work phone:
Fax:
* Best time to contact you:
1
2
3
4
5
6
7
8
9
10
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am
pm
* Estimated move date:
* How did you find our website?
Moving From:
Moving To:
Address:
Address:
City:
City:
State:
State:
ZIP:
ZIP:
Size of apartment:
Studio
1 Bedroom
2 Bedroom
3 Bedroom
4 Bedroom
5 Bedroom
Office
Size of apartment:
Studio
1 Bedroom
2 Bedroom
3 Bedroom
4 Bedroom
5 Bedroom
Office
Elevator:
Yes
No
Elevator:
Yes
No
# of floors
# of floors
Will you need:
Packing
Unpacking
Storage
Type Of Service:
Service Type ...
Residential
Commercial
REO Services
Other
Living room
Sofa
Loveseat
Occasional chair
Recliner chair
Ottoman
Coffee table
End table
Entertainment center, Large
Rug
Piano upright
Piano baby grand
Exercise machine, large
Entertainment center, small
Curio cabinet
Stereo cabinet
TV Stand
Dining room & Kitchen
Dining table
Kitchen table
Dining/kitchen chairs
China cabinet
Buffet
Microwave
Microwave cart
Bedroom:
King size bed
Queen size bed
Double/full size bed
Single/twin size bed
Bunk bed
Futon
Single dresser
Double dresser
Triple dresser
Armoire
Wardrobe cabinet
Night stand
Crib
Changing table
Appliances & Electronics:
Exercise machine, small
Skis
Golf bag
Power tools
Large refrigerator
Small refrigerator
Freezer
Stove
Dishwasher
Washer
Dryer
Heater
Air conditioner
Vacuum cleaner
TV regular
TV big screen
Computer
Printer
Fan
VCR/DVD
Stereo components
Large speakers
Outdoors:
Patio table
Patio chair
Umbrella
Misc. garden tools
Snow blower
Edger
Push lawn mower
Bicycle
Misc:
Toy chest
Lamp
Floor lamp
Mirror
Picture
Tool chest
Sewing machine cabinet
Suitcase
Boxes: Estimated number of boxes to be moved
Items of extraordinary value:
Comments: