Carlos Moving Services

`Moving Date

Date Hour Minutes AM/PM Option

Full Name *

Moving From Street City State or Zip Code: *

Moving To: Street City State or Zip Code: *

Telephone *

Area Code Phone Number

E-mail *

Property moving from? *

How many Bedrooms? *

what floor are you moving from? *

Property moving to? *

what level are you moving to? *

We will Contact you in 2 hrs. Weight Factor (lbs/cu ft) Computed Estimate Wt Total Wt Addtv & Bulky Wt

Living Room

Please Write everything from the Living room Only the items listed are included in the Total Cost. Any items or additional services added may result in additional cost.

Inventory List	Quantity	Price
Bookcase		$ 20.00
Bench, Harvest / Fireside		$ 40.00
Bookshelves, Sect.		$ 60.00
Ceiling Fan		$ 20.00
Chair, Occasional		$ 30.00
Chair, Overstuffed		$ 40.00
Chair, Rocker		$ 20.00
Clock, Grandfather		$ 60.00
Clock, Grandmother		$ 50.00
Couch, 3 Cushions		$ 60.00
Couch, Hide, 4 Cushions		$ 80.00
Couch, Love Seat		$ 40.00
Couch, Sectional-per sect		$ 140.00
Couch / Rattan, Wicker		$ 40.00
Fireplace Equipment		$ 40.00
Footstool / Stool		$ 10.00
Hall Tree Large		$ 20.00
Hall Tree Rack		$ 20.00
Lamp, Floor / Pole		$ 20.00
Magazine Rack		$ 10.00
Music Cabinet		$ 10.00
Ottoman		$ 10.00
Piano upright		$ 350.00
Baby grand		$ 495.00
Grand Piano		$ 600.00
Piano, Spinet/Console w/bch		$ 275.00
Recliner (electric)		$ 80.00
Room Divider		$ 20.00
Rugs, Lg. Roll/Pad		$ 60.00
Rugs, Sm. Roll/Pad		$ 20.00
Table, Coffee / End		$ 35.00
Table, Drop / Occasional		$ 20.00
Small box		$ 2.00
Medium Box		$ 5.00
Large box		$ 7.00
Plastic Bin or tote		$ 10.00

Item subtotal: $ 0.00

Bedrooms

Please write down everything from the bedrooms Only the items listed are included in the Total Cost. Any items or additional services added may result in additional cost.

Please write down everything from the Bedroom	Quantity	Price
Bed, Bunk (Set 2)		$ 85.00
Bed, Single / Hollywood		$ 60.00
Bed, Std / Dbl / Full		$ 80.00
Queen mattress		$ 60.00
Queen H/F/R (Wood)		$ 90.00
King H/F/R (wood)		$ 120.00
King Mattress		$ 80.00
Bed, Rollaway		$ 60.00
Bed, Waterbed Base		$ 60.00
Bed, Youth / Trundle		$ 60.00
Chair, Arm / Boudoir		$ 40.00
Chest / Trunk		$ 20.00
Chest of Drawers		$ 45.00
Chest, Armoire		$ 150.00
Chest, Bachelor		$ 60.00
Chest, Cedar Table, Coffee / End Spreader, Lawn		$ 60.00
Clothes Hamper Table, Drop / Occasional Table, Utility / Patio		$ 10.00
Dresser, Single		$ 20.00
Dresser, Double		$ 40.00
Dresser, Double		$ 60.00
Dresser, Vanity		$ 90.00
Dresser, Vanity Bench		$ 20.00
Footlocker		$ 20.00
Futon		$ 40.00
Table, Night		$ 20.00
Small box		$ 2.00
Medium Box		$ 5.00
Large box		$ 7.00
Extra Large box		$ 10.00
plastic Bin		$ 10.00
Mirror		$ 10.00
Large Mirror		$ 60.00

Item subtotal: $ 0.00

Appliances

Please Write down everything that you want us to move. Only the items listed are included in the Total Cost. Any items or additional services added may result in additional cost.

Appliances	Quantity	Price
Dishwasher		$ 30.00
Dryer		$ 60.00
Washing Machine		$ 60.00
Freezer, 10 cu ft or less		$ 40.00
Freezer, 11 to 15 cu ft		$ 45.00
Freezer, 16 cu ft or over		$ 60.00
Microwave Oven		$ 30.00
Microwave Stand / Table		$ 30.00
Range, 20`` Wide		$ 30.00
Range, 30`` Wide		$ 40.00
Range, 36`` Wide		$ 60.00
Refrig. 6 cu ft or less		$ 20.00
Refrig. 7 to 10 cu ft		$ 40.00
Refrig. 11 to 19 cu ft		$ 90.00
Refrig. 20 cu ft and over		$ 150.00

Item subtotal: $ 0.00

Electronics

Write down everything . Only the items listed are included in the Total Cost. Any items or additional services added may result in additional cost.

Electronic	Quantity	Price
Entertainment Center		$ 80.00
Speaker, Floor		$ 20.00
Speaker, Shelf		$ 30.00
Stereo Component		$ 20.00
TV, 9" - 19"		$ 10.00
TV, 20" - 27"		$ 20.00
TV, 28" - 39"		$ 40.00
TV, 40" & over (note size)		$ 80.00
TV, Stand		$ 20.00
TV /stand Console		$ 60.00
TV/ Stand (glass)		$ 30.00

Kitchen

Please Write down Everything. Only the items listed are included in the Total Cost. Any items or additional services added may result in additional cost.

Kitchen	Quantity	Price
Bakers Rack		$ 20.00
Cabinet		$ 40.00
Chair, Breakfast Suite		$ 10.00
Chair, High		$ 10.00
Serving Cart		$ 20.00
Stool, Bar		$ 10.00
Table, Breakfast		$ 40.00
China Cabinet		$ 99.00
Small Box		$ 2.00
Medium Box		$ 5.00
Large Box		$ 7.00
Xtra Large box		$ 10.00
Plastic Bin		$ 10.00

Item subtotal: $ 0.00

Dining Room

Write down Everything. Only the items listed are included in the Total Cost. Any items or additional services added may result in additional cost.

Dining Room	Quantity	Price
Buffet (Base)		$ 40.00
Buffet (Top)		$ 60.00
Cabinet, China / Corner		$ 60.00
Chair, Dining		$ 10.00
Table, Dining wood		$ 60.00
Table, Dining Glass for 8 charis		$ 90.00
Table, Dining Glass for 10 chairs		$ 250.00
Hutch		$ 60.00
Tea Cart		$ 20.00
Small Box		$ 2.00
Medium box		$ 5.00
Large box		$ 7.00
Xtra large box		$ 10.00

Item subtotal: $ 0.00

Office /Work

Write down everything, Only the items listed are included in the Total Cost. Any items or additional services added may result in additional cost.

Office	Quantity	Price
2 Drawer File Cabinet		$ 20.00
2 Drawer Lateral File Cabinet		$ 20.00
4 Drawer File Cabinet		$ 40.00
4 Drawer Lateral File Cabinet		$ 60.00
Basket / Hampe		$ 10.00
Card Table		$ 10.00
Chair, Folding		$ 5.00
Desk, Computer		$ 60.00
Desk, Office		$ 60.00
Desk, Secretary		$ 120.00
Desk, Student		$ 30.00
Desk, Small / Winthrop		$ 20.00
Fax		$ 30.00
Filing Cabinet, Cardboard		$ 20.00
Chair, Office		$ 20.00
PC/Printer		$ 20.00
Commercial printer		$ 200.00
Phone Stand		$ 20.00
Scanner Small		$ 20.00
Waste Basket		$ 5.00
Typewriter, Portable		$ 20.00
book box		$ 2.00
Medium box		$ 5.00
Large box		$ 7.00
Extra large box		$ 10.00
Plastic bin		$ 10.00

Item subtotal: $ 0.00

Porch outdoor

Write everything down. Only the items listed are included in the Total Cost. Any items or additional services added may result in additional cost.

Outdoor	Quantity	Price
BBQ Grill, large		$ 40.00
BBQ Grill, small		$ 30.00
Bicycle		$ 10.00
Bird Bath		$ 40.00
Chair, Aluminum		$ 5.00
Chair, Metal		$ 3.00
Chair, Wood		$ 5.00
Chaise Lounge		$ 10.00
Garden Hose / Tools		$ 60.00
Glider or Settee		$ 20.00
Golf Clubs / Bag		$ 5.00
Hammock		$ 60.00
Heater, Gas / Electric		$ 5.00
Hot Tub (need dimensions)		$ 80.00
Ladder, 6` Step		$ 5.00
Ladder, 8` Step		$ 10.00
Ladder, Extension		$ 60.00
Lawn Mover, Rider (HP)		$ 60.00
Lawn Mower, Hand		$ 10.00
Lawn Mower, Power		$ 20.00
Leaf Sweeper		$ 2.00
Outdoor Child Gym		$ 10.00
Outdoor Child Slide		$ 60.00
Outdoor Swings		$ 10.00
Picnic Bench		$ 60.00
Ping Pong Table		$ 70.00
Plant Stand		$ 10.00
Roller, Lawn		$ 5.00
Skis / Poles		$ 20.00
Sled		$ 10.00
Snow Blower		$ 80.00
Spreader, Lawn		$ 10.00
Table, Utility / Patio		$ 50.00
Tire		$ 5.00
Tire w/Rim		$ 10.00
Tool chest, Small		$ 40.00
Tool chest, Medium		$ 60.00
Tool chest, Large		$ 90.00
Trampoline		$ 60.00
Tricycle		$ 10.00
Umbrella, Patio		$ 10.00
Wagon, Child's		$ 5.00
Wheelbarrow		$ 10.00
Wicker, Chair-large		$ 10.00
Wicker, Chair-small		$ 5.00
Wicker, Sofa-large		$ 15.00
Wicker, Sofa-small		$ 10.00

Item subtotal: $ 0.00

Shop/Garage/ Misc.

Write everything down. Only the items listed are included in the Total Cost. Any items or additional services added may result in additional cost.

Shop garage	Quantity	Price
Air Conditioner/Window-lg		$ 40.00
Air Conditioner/Window-sm		$ 30.00
Barbells (wt)		$ 20.00
Bowling Ball / Bag		$ 20.00
Humidifier / Dehumidifier		$ 20.00
Exercise Machine		$ 80.00
Exercycle		$ 60.00
Fan		$ 20.00
Ironing Board		$ 2.00
Metal Shelves		$ 10.00
Pool Table, Composition		$ 50.00
Pool Table, Slate		$ 750.00
Power Tool Hand/each		$ 2.00
Sewing Machine, Console		$ 20.00
Power Tool Stand		$ 20.00
Sewing Machine, Portable		$ 5.00
Sewing Machine, w/Cabinet		$ 20.00
ShopVac		$ 10.00
Suitcase		$ 10.00
Table, Small		$ 5.00
Table, Large		$ 20.00
Table, Plastic		$ 20.00
Trash Can (outside)		$ 10.00
Trunk / Footlocker		$ 20.00
Utility Cabinet		$ 20.00
Work Bench-small		$ 10.00
Work Bench-large		$ 20.00

Nursery

Writ down a moving list. Only the items listed are included in the Total Cost. Any items or additional services added may result in additional cost.

Write down everything	Quantity	Price
Baby Carriage / Stroller		$ 15.00
Basket / Hamper		$ 2.00
Bassinette / Bathinette		$ 20.00
Bed, Crib		$ 40.00
Chair, Child's		$ 5.00
Chair, Child's Rocker		$ 5.00
Table, Changing		$ 10.00
Chair, Child's Rocker		$ 5.00
Playpen		$ 5.00
Toy Chest		$ 5.00
Toys		$ 0.50

Item subtotal: $ 0.00

Cartons

Only the items listed are included in the Total Cost. Any items or additional services added may result in additional cost.

Boxes	Quantity	Price
Dish Pack		$ 10.00
Book Carton (1.5 cu)		$ 2.00
MedCarton (3.0 cu)		$ 5.00
Lg Carton (4.5 cu)		$ 7.00
XLg Carton (6.0)		$ 10.00
Crib Matt		$ 5.00
Single 3 x 3 Matt		$ 2.00
Double 4 x 6 Matt		$ 10.00
Queen / King Matt		$ 60.00
Mirror Carton		$ 20.00

Item subtotal: $ 0.00

Subtotal $ 0.00 Tax $ 0.00 Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Appointment *

Signature

Clear

Carlos Moving Services.