Job Payment Form

Number of Movers*

Mover #1

Hours Worked #1

Mover #1 Driver?

Yes

Mover #2

Hours Worked #2

Mover #2 Driver?

Yes

Mover #3

Hours Worked #3

Mover #3 Driver?

Yes

Mover #4

Hours Worked #4

Mover #4 Driver?

Yes

Mover #5

Hours Worked #5

Mover #5 Driver?

Yes

Mover #6

Hours Worked #6

Mover #6 Driver?

Yes

Not Listed Name - Mover #1

Not Listed Name - Mover #2

Not Listed Name - Mover #3

Not Listed Name - Mover #4

Not Listed Name - Mover #5

Not Listed Name - Mover #6

Travel Fee (if applicable)

Check Google Calendar Event to verify if there is a travel fee. If none, leave blank!

Truck Fee (if applicable)

If not applicable, enter 0

Discount % (if applicable)

Check Google Calendar Event to verify if promo/discount is to be given to customer. If none listed leave blank!

Discount Total

Deposit Amount Paid Already*

Check Google Calendar Event and enter deposit amount already paid to be deducted from total. If no deposit paid yet, enter 0!

Labor Cost*

Customer Name*

First NameLast Name

Email*

example@example.com

Total Amount*

Payment with Credit or Debit Card includes a 2.9% processing fee

Total to Charge on Card*

USDPayment with Credit or Debit Card includes a 2.9% processing fee

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Tip %

Our crews work hard. If you were happy with their service, we highly encourage tipping! Any tip goes directly to them!

Tip $ Amount (Auto Calculated Based on % Above)

Can also choose set dollar amount if prefer over %