Job Payment Form

Number of Movers

Mover #1

Hours Worked #1

Mover #1 Driver?

Mover #2

Hours Worked #2

Mover #2 Driver?

Mover #3

Hours Worked #3

Mover #3 Driver?

Mover #4

Hours Worked #4

Mover #4 Driver?

Mover #5

Hours Worked #5

Mover #5 Driver?

Mover #6

Hours Worked #6

Mover #6 Driver?

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

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

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 %

Signature

Total to Charge on Card*

Total to Charge on Card