Haul ATX Quote Form
Please fill out the following quote request form. We will not share nor sell your private information.
Email
*
example@example.com
Please verify that you are human
*
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Preliminary Questions
How did you find us?
*
Facebook
Google
Referral
TaskRabbit
Other
If you picked "Referral" what is the name of the person who referred you?
If you picked "Other" what was the way you came to find out about Haul ATX?
What type of service do you require?
*
Loading
Unloading
Full Service (loading AND unloading)
Do you need Haul ATX to pack your boxes for you?
Yes
No
Do you need Haul ATX to bring a truck for your move?
*
Yes
No
Maybe, not sure
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Additional Service Requirements
Preferred Move Date
*
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Preferred Move Time
Hour Minutes
AM
PM
AM/PM Option
Are there any other dates and times that work? If so, when else?
Address #1 (where the moving job will take place)
*
Address #2 (FULL SERVICE moves only)
Number of Bedrooms
*
Please indicate using numerical characters how many bedrooms will this service cover.
Number of Boxes
*
Please indicate using numerical characters how many boxes need to be (un)loaded.
How many flights of stairs (without elevators) are involved in total during the move?
*
Estimated distance (in feet) from your front door to where the box truck would be parked
*
Doesn't have to be super accurate - just give us your best estimate.
Large Furniture
*
Couch
Table
Dresser
Armoire
Bedframe
Mattress
Bookshelf
Desk
None of the above
Large Appliances / Electronics
*
Washer
Dryer
Stove
Grill
Refrigerator
Flatscreen TV
Desktop Computer
None of the above
What other furniture/appliances/electronics do you need to move? If you have multiple of a given kind of item, please specify how many there are.
*
If this does not apply to you, just write "N/A"
What other furniture do you need to move?
If you do not have any other furniture to move, please leave this blank.
Are you moving any item that is worth more than $2000?
*
Yes
No
If you replied "yes" to the last question, please indicate what those items are.
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Additional Contact Information
Name
Phone Number
Submit
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