RESIDENTIAL MOVE

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What type of service do you need?

Residential move

Commercial move

Junk removal

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Name

First Name

Last Name

3

Phone Number

Area Code

Phone Number

4

Email* This field is required.

example@example.com

5

How did you hear about us?

6

Who referred you to us?

7

If you have a discount code, provide discount code here.

8

Please enter your requested service date.

Date

9

Please enter the PICKUP and DELIVERY AddressStreet Address, City, State, Zip Code

Pick up address Street Address, City, State, Zip Code

Deliver address Street Address, City, State, Zip Code

Country

10

At PICKUP and DELIVERY location, do you have an entryway with a

PICK UP LOCATION Single door

PICK UP LOCATION Double doors

DELIVER LOCATION Single door

DELIVER LOCATION Double doors

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How many square foot is your home or office at PICKUP location?

12

How many square foot is your home or office at DELIVERY location?If it doesn't apply to your Needs just type in NA.

13

Do you have stairs at PICKUP location?

YESNO

14

(PICKUP LOCATION) Do you have

Short steps

Flight of stairs

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Do you have stairs at DELIVERY location?

YESNO

16

(DELIVERY LOCATION) Do you have

Short steps

Flight of stairs

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How many flight of stairs at PICKUP location?

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How many flight of stairs do you have at DELIVERY location?

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How many bedrooms do you have at PICKUP location?

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How many bedrooms do you have at DELIVERY location?If it doesn't apply to your Needs just type in NA.

21

Do you have a steep driveway at PICKUP location?

YESNO

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Do you have a steep driveway DELIVERY location?

YESNO

23

Do you need us to provide a moving truck?

YESNO

24

Do you need us to provide packing supplies? (example: boxes, bubble wrap or shrink wrap)

YESNO

25

We know packing can be stressful and that’s why we recommend that we help you. We pack and label your boxes for you and we can do this all in one day for you. Do you need help with packing?We can help you pack up all of your items for you, the day before moving day.

YESNO

26

Please tell us what what rooms you need us to pack for you, check all that applies

Living Room

Bedrooms

Kitchen/dining room

Garage

All rooms

27

We can remove large amount of trash for you. Will you have any leftover junk that needs to be taken out of the home?

YESNO

28

Do you have any of these large appliances?

Washer and dryer

Refrigerator

Deep freezer

29

Do you have any industrial equipment?

YESNO

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Do you have pets?

YESNO

31

Do you have large picture frames, portraits, or posters that you need us to transport for you?

YESNO

32

Do you have lamps that needs to be transported?

YESNO

33

Do you have sentimental items or furniture that is very important to you? (Need us to pay special attention to)

YESNO

34

Do you have awkward furniture that may be difficult to move?

YESNO

35

Have any large yard equipment that needs to be moved?

YESNO

37

If you have any special notes or details we need to know to prepare your quote, please enter that below.

38

For a better estimate you can submit photos of each room.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

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WE HAVE A $300 DEPOSIT IN TOWN MOVES OR 50% FOR OUT OF TOWN MOVES* This field is required.

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WE HAVE A 3 HOUR MINIMUM* This field is required.

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Terms and Conditions* This field is required.

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The estimate that we are going to provide for you are not a set price. If you have any questions about the estimate please call or send a message to us at (559) 634-0678 We look forward to speaking with you!* This field is required.

I UNDERSTAND

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Would you like to set up an in-home evaluation with us today?If yes, we will schedule a date & time for you today.

YESNO

44

Was this form simple to fill out?* This field is required.

YESNO

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