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First name
Last name
Phone
Email
Desired Moving Date
*
Current Address
*
Moving to Address
*
Current Resident Type
*
Apartment
House
Townhouse
Duplex
Storage Unit
New Resident Type
*
Apartment
House
Townhouse
Duplex
Storage Unit
How Many Bedrooms
*
Are there any stairs or elevators at your current or new location? (do not include front door entry steps)
*
Stairs
Elevator
None
Please select the following items you will include in your move.
*
King Size bedroom set
Queen Size bedroom set
Full Size Bedroom set
Twin Size Bedroom set
Toddler Bed/ Crib
Sofa/Love Seat
Sectional Sofa
Recliners
Kitchen Table w/chairs
Appliances (washer/dryer, fridge, deep freezers, stove)
T.V.
Patio/pool furniture
Safe
Pool table
China Cabinets
Armoire
Specialty Beds (canopy, medical grade beds, adjustable beds)
Home office furniture/equipment
Other, Please specify
Specify
How many boxes or containers will you have?
*
Will you need packing or unpacking services?
*
Yes
No
Any fragile or valuable items that require special handling? (If yes please specify)
*
Yes
No
Specify
How did you hear about us?
*
To better serve you, please provide video or photos of the items you will need us to move.
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