MerryHands Home Order Sheet
Order a Home Service in Minutes!
Who is filling out form?
*
Please Select
I'm booking this for myself
I'm booking on behalf of someone else
I'm staff
Starting City
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Please Select
10_Tucson
11_Phoenix
20_Dallas
21_Fort Worth
22_Houston
23_San Antonio
24_Austin
33_Atlanta
51_Baltimore
When do you need service?
*
Please Select
Same Day
Within Next 24 - 48 Hours
Between 48 and 72 Hours
72 Hours or More
First Name of Who We Help
*
We have availability...Call in to get an actual Job Date & Time!!
***We detected that some of the things you requested require you to call in to see when we can get you a job date and time***
For a Last Minute/Same Day Service... Call For Availability!
***You will have to call to get confirmed after you submit. It normally takes us up to 2 hours after a submission is received to get guys last minute. The number of guys subject to availability***
Service Type:
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Packing
Assembly
Cleanout-Move In/Move Out
Picture & Curtain Hanging
Other Handy Job
Move Type:
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Load
Unload
How big is the place?
*
Please Select
Studio/1 Bedroom
2 Bedroom Apt/House
3 Bedroom Apt/House
4 Bedroom Apt/House
How many rooms?
*
Please Select
Studio
1 Bedroom
2 Bedrooms
3 Bedrooms
4 Bedrooms +
Please pick closest size
How many Items?
*
Please Select
1 Items
2 Items
3 Items or more
Please pick closest size
Please list the items:
*
How many Pictures?
*
Please Select
10' Truck
15' Truck
17'-20' Truck
26' Truck
Semi Trailer
Delivery Truck (Up to 30')
Small Trailer
Other
Please pick closest size
How many windows/curtains?
*
Please Select
5 x 10
10 x 10
10 x 15
10 x 20
10 x 30
16 ft POD or smaller
POD greater than 16ft
Other
Please describe the job:
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How Many Movers?
*
Please Select
1 Man
2 Men
3 Men
4 Men
How Many Hours?
*
**Minimum Hours for 1 Man is 3 Hours**
How Many Hours?
*
**Minimum Hours for 2 Men is 2 Hours**
How Many Hours?
*
**Minimum Hours for 3 Men is 3 Hours**
How Many Hours?
*
**Minimum Hours for 4 Men is 4 Hours**
Do you need Truck?
*
Please Select
Yes, we will use your truck
No, we don't need truck or we have our own
Not sure
Other
Size of Truck Needed?
*
Please Select
10' Truck
15' Truck
17'-20' Truck
26' Truck
How many miles? ($1 per mile)
Add-Ons Included in Price:
Disassembly
Assembly
Packing (Up to 2 hrs)
Add-Ons for Additional $:
Basic Coverage-$14.99
Waste Disposal-$40
Basic TV Mount-($25 each TV)
Standard Coverage- $29.99
Add-Ons for Additional $:
2 Hours of Packing
Basic Coverage-$14.99
Standard Coverage- $29.99
How Many TVs Mounted? (4 Limit)
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Man Hour
2 Man Hour
3 Man Hour
4 Man Hour
Estimated Amount of Hours
1 Man Labor Miminum:
2 Men Labor Miminum:
3 Men Labor Miminum:
4 Men Labor Miminum:
Labor Total:
Truck & Transport Total:
Add-On Total:
Job Estimated Total:
Job Estimated Total:
Job Estimated Total:
Job Estimated Total:
Starting Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
For Starting Location
Add apt#
Add Bld#
Add Gate Code
Add Unit #
Other Address Info
Starting Apt#
Starting Bld #
Starting Gate Code #
Starting Unit#
Add Middle Location
Middle Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
For Middle Location
Add apt#
Add Bld#
Add Gate Code
Add Unit #
Other Address Info
Middle Apt#
Middle Gate Code #
Middle Bld #
Middle Unit#
Ending Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Ending Address Not sure yet/TBD
For Ending Location
Add apt#
Add Bld#
Add Gate Code
Add Unit #
Other Address Info
Ending Apt#
Ending Bld #
Ending Gate Code #
Ending Unit#
Job Date #1
*
Time of Day Preferred?
*
Please Select
Morning: 7:00AM - 11:00AM
Afternoon: 1:00PM - 4:00PM
Evening: 4:00PM - 7:00PM
Enter the Time of Day you'd like to Move..**This will not be confirmed yet until we can confirm through call or text**
Requested Job Date #1
*
-
Month
-
Day
Year
**This will not be confirmed yet until we can confirm through call or text**
Time they requested?
Hour Minutes
AM
PM
AM/PM Option
Will some of this job be done on different date?
Job Date #2 (If Applicable)
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Month
-
Day
Year
Date
Primary/Person Moving
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Prefix
First Name
Middle Name
Last Name
Suffix
Customer Phone#
*
Please enter a valid phone number.
Format: (000) 000-0000.
Add email later or not sending to customer
Contact Email Address
*
example@example.com
Is this email the same as billing email?
*
Yes
No
Billing Email Address
*
example@example.com
Alternative Contact/Representative #
Please enter a valid phone number.
Format: (000) 000-0000.
Alternative Contact
First Name
Last Name
Alternative Contact
*
First Name
Last Name
Alternative Email Address
example@example.com
Alternative Email Address
*
example@example.com
How did you hear of us?
*
Word of Mouth
Google
Craigslist
Repeat Customer
Social Media: Facebook/Instagram
Social Media: Other
From one of our staff
Have you used us before?
*
Yes, I'm a repeat customer
No, I'm a new customer
I am selling something
Please verify that you are human
*
Submit
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