Customer Intake Form

Customer Intake Form

Please complete form thoroughly to receive the most accurate quote. Any estimate provided is an approximation and is not guaranteed. The estimate is based on information submitted from the client regarding project requirements. Actual cost may change once all project elements are finalized or negotiated. Prior to any changes of cost, the client will be notified. Please be honest about everything so that we may provide all cost possibilities prior to booking. Please take note of the symbol * next to required questions. This Form is for residential moves only!!!
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Appointment*
Date

MonthDayYear
Time

Hour Minutes

AM/PM Option
Number of bedrooms*
Type of residence at pickup location?*

ApartmentHouseCondoTownhomeStorageOther
Type of residence at delivery location?*

ApartmentHouseCondoTownhomeStorageOther
Number of Bedrooms to be moved?*

1 Bedroom2 Bedrooms3 Bedrooms4+ Bedrooms
What is the square footage of your current home or storage size? If unknown, please leave it blank
sq ft?
Service Type *
Only select 3rd floors if no elevators are available. All moves come with 2 helpers. All labor only services have service fee of $45.00. All moves w/ truck is charged $2.77 per mile.
Pickup Location *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are there elevators at the pickup location?*
Delivery Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are there elevators at delivery location?*
Pickup Location floor * Delivery Location floor*
Pickup floor location? i.e. 2nd floor*
Delivery floor location? i.e. 3rd floor*
(Input the number of floors i.e., 1st, 4th, etc.)
Items to be moved*
PLEASE LIST ALL ITEMS IN DETAIL. Only items listed will be moved. This allows us to provide a more accurate estimate.
Number of Boxes*
Do you have a tv 55 inches or bigger that requires a box?*
All tv's 55inch or bigger require a box 55 inch or bigger. We do not dismount/mount TV's.
List of Special Items/Appliances*
Special Items: Any item 200lbs or more, exercise equipment, high value items, unusual items, sofa beds etc. These have a sperate charge. Appliances: deep freezers, stoves, washers, dryers etc. These have a separate charge (N/A if none)
Upload pictures of special items/appliances and other details here if applicable

Cancelof
Loading/Unloading distance greater 100 feet*
Movers will measure upon arrival. Distances greater than 100 feet has a fee starting at $90 per location
Do items require box staging? $30*
Staging is placing specific items in specific areas of the house. Outside of normal furniture, other items (i.e. boxes etc.) will be placed in a common area. Box staging is charged per room.
Please select requested service

Disassemble ($20 per item)Assemble ($20 per item)
Disassemble List items (separate by comma)
Assemble List items (separate by comma)
Do you require additional movers? *
(all moves quoted with a minimum of 8 hours of labor time requires 3 movers)
Additional Information
Please list additional request i.e. additional movers, truck, delivery locations etc. Any information that you believe is important

All moves come standard with padding and wrapping. If you are looking for labor only services or to store your items, consider purchasing these items for protection.

Mattress CoverWe recommend mattress covers. It's possible that the mattresses (box springs) can be exposed to dust, soil and light water during your move or time in storage. We can provide these mattress covers at $10 per cover. We suggest 2 if you want your box springs covered also.

$10.00

Size	Quantity
Twin
Full
Queen
King

Moving Blankets (1 blanket) Product Image

Moving Blankets (1 blanket)Only needed if you are responsible for transporting, unloading, and/or storing your goods for a period of time. $12 per blanket

$12.00

Hauling Straps (Set of 4)Only needed if you are responsible for transporting and unloading your goods. They are used to hold items in place during travel.

$30.00

TV Boxes (1 box)We require boxes for all TV's 55 inch or bigger. We can provide the box.

$40.00

Total

$0.00

Method Of Payment (default option of Quick Books will be selected if no option is chosen)

PayPal InvoiceZelleQuickBooks Invoice
Method of Payment
Payments for deposit and final billing will be using any one of the avenues listed. We are not collecting payment at this time.
Thank you for considering Swift Moving Operations, LLC

Someone will contact you to confirm the details and issue your quote via e-mail. This email will also contain detail information about our company and how our process flows. Please be sure to check your SPAM.
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Customer Intake Form

Thank you for considering Swift Moving Operations, LLC