Holders Angels Moving full service form

Holders Angels Moving Company LLC

Full moving package with truck rental and professional loading/unloading services provided.
Please complete to the best of your ability in order for us to generate a estimate for you.
Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Preferred service Date & Time

MonthDayYear

MinutesAM/PM Option
Pick up Location Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
House, apartment, townhouse, office or storage? (Specify)
How many bedrooms or rooms? (pick up location)
Any steps?
Additional fees applied
What floor do you reside on?
Drop off Location Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
House, apartment, townhouse, office or storage? (Specify)
How many bedrooms or rooms? (drop off location)
Any steps?
Additional fees applied
What floor are you moving to?
How many miles are you moving?
Additional fees will apply for outside of Metro Louisville jurisdiction.
Any additional location?
Additional fees applied
Address of additional location?
N/A if this doesn’t apply.
Any steps at additional location?
Additional fees applied
What items are at additional location?
N/A if this doesn’t apply.
What are the main items needing to be moved?
PLEASE BE AS DETAILED AS POSSIBLE !!!!
# OF TVS
TRANSPORTED AT OWNERS DISCRETION, TV must already be removed from wall.
# OF COUCHES
TYPE OF COUCHES
Sectional ? Recliner ?
# OF BEDS
( headboard, footboard )
Do the beds need to be taken apart
Additional fees applied. If none type 0
Do the beds need to be assembled
Additional fees applied. If none type 0
# OF MATTRESSES
Is the bed in a box?
Additional fees applied
# OF DRESSERS
All items must be removed from dresser or additional fees applied
Approximate number of boxes and totes
Any PIANOS?
Additional fees applied
TYPE OF PIANO
Will there be items coming out of garage? List below
Any exercise equipment ?
Any outside/ yard equipment ?
CHECK ALL APPLIANCES

Other
Prior to the move, it is necessary to disconnect the washer and dryer; failure to do so will result in additional charges.
List other large appliances
Additional fees applied
Do you have any extremely fragile items? List below
Any furniture requiring disassembly or assembly.
Additional fees applied
Which furniture needs to be disassembled or assembled?
Additional fees applied
Any pets in home
Pets must be in a secured location during move or additional fees applied
Please choose the options that are relevant to you so that we can make necessary preparations. Let us know if any of them are applicable.
Are there any dangerous or unsanitary conditions present at either site?
Additional fees applied
Choose the quantity of skilled moving professionals

Other
SPECIAL REQUEST
What is your method of payment for the moving services?

Other
How did you find out about our company?
List other
Please note: A non-refundable deposit of $165.00 is necessary to secure your appointment. Your appointment will only be confirmed once the deposit is received. Full payment is required at the time of service. Failure to make payment may result in legal consequences.
Signature
Date Signed

MonthDayYear
Date
Should be Empty:

Holders Angels Moving Company LLC