Quote Form - LONG *ALL FIELDS REQUIRED First Name Last Name Email Phone Best time to contact you? AM PM Estimated Move Date Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2009 2010 2011 2012 2013 How did you find our Website? Type of Service Choose. . . Local Move Office Relocation Storage Pack and Move Pack, Move and Storage Container Long Distance move Neighbor Island move Estimated move weight Choose. . . Partial Home, Under 2000 lbs. Studio 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom Over 4 Bedroom Office Move 20ft Container 40ft Container 45ft Container Moving From: Moving To: City City State State Zip Code Zip Code Elevator: Yes No Elevator: Yes No If Walk Up, Enter #of Floors: If Walk Up, Enter # of Floors: *Enter the quantity of each item in the section next to the item name. LIVING ROOM ITEMS Chair(Recliner): Cabinet(Small): Piano(Upright): Chair(Straight): Cabinet(Large): Organ: Chair(Rocker): Cabinet(Curio): Piano Bench: Chair(Overstuffed): Cabinet(Music): Grandfather Clock: Chair(Arm/Swivel): Entertainment Center: Coat Rack: Ottoman: Stereo Console: Fireplace Equipment: Chair(Occasional): Stereo Components: Magazine Rack: Footstool: Speakers: Rug or Pad(Small): Bookshelves: VCR: Rug or Pad(Large): Sofa(Sectional)Sections: TV(Portable): Floor Lamp: Sofa(Love Seat): TV(Big Screen): Pole Lamp: Sofa(Hide-a-Bed-Queen): TV Stand: Table Lamp: Sofa(Hide-a-Bed): TV(Console): Benches: Sofa(3 Cushion): TV(Combination): Occasional Table: Sofa(4 Cushion): Coffee Table: End Table: Sofa(Rattan/Wicker): Lamp Table: Desk: Bar Stool: Portable Bar: BEDROOM ITEMS Bed Frame: Night Table: Bed Headboard: Bed Footboard: Bed(Single): Bed(Roll-a-way): Bed(Queen): Bed(Double): Bed(Bunk): Bed(King): Day Bed: Bed(Water): Chest of Drawers: Bookshelves/Sections: Chest(Armoire): Cedar Chest: Dresser(Single): Dresser(Vanity): Dresser(Triple): Dresser(Double): Desk: Futon: DINING ROOM ITEMS Buffet (Base): Buffet(Top): Cabinet(China): Cabinet(Corner): Chair(Dining): Hutch: Dining Table: Table Leaf: Tea Cart: Bench: CHILDREN'S ROOM ITEMS Baby Carriage: Bassinet: Bed(Youth): Car Seat: Chair(Child's): Table(Child's): Changing Table: Toy Chest: Chest: Crib: Playpen: Stroller: KITCHEN ITEMS Baker's Rack: Serving Cart: Breakfast Table: Breakfast Chair: High Chair: Butcher Block: Freezer: Dishwasher: Kitchen Cabinet: Pie Saver: Microwave Oven: Range(30"): Range(36"): Trash Compactor: Refrigerator(6 ft3 or less): Stool: UTILITY ROOM ITEMS Clothes Hamper: Basket: Clothes Dryer Rack: Dryer(Electric): Dryer(Gas): Washing Machine: Ironing Board: Vacuum Cleaner: Utility Cabinet: Bookshelves: HOME OFFICE ITEMS Bookcase: Computer: Computer Desk: Computer Printer: Copier: Credenza: Office Desk: Office Chair: Filing Cabinet(2-3 Drawer): Filing Cabinet(4-5 Drawer): Lateral File(2 Drawer): Lateral File(4 Drawer): Table: OUTDOOR ITEMS Chair(Plastic): Chair(Aluminum): Chair(Wood): Chair(Metal): Chaise Lounge: Chair(Porch): Glider/Settee: Outdoor Swings: Garden Hose: Bench: Leaf Sweeper: Shelves: Table(Outdoor): Picnic Table: Canopy: SPORT EQUIPMENT ITEMS Bicycle: Bicycle(Exercise): Bowling Bag/Ball: Exercise Equipment: Golf Bag: Health Rider: Home Gym: Ping Pong Table: Pool Table(Composite): Pool Table(Slate-disassembled only): Rowing Machine: Stair Climber: Skis: Sled: Weight Bench: Weights: Tackle Box: Gun Cabinet: Basketball Goal: Ice Chest: MISCELLANEOUS ITEMS Bird Cage: Cabinet Metal: Card Table: Folding Chair: Cooler: Cot Folding: De-Humidifier: Dolly: Fan: Footlocker: Ladder(Step): Hammock: Power Tools: Power Tool Stand: Radio: Saw Horse: Sewing Machine(Portable): Sewing Machine(Cabinet): Shelves(Metal): Shelves(Wooden): Stand: Suitcase: Table Saw: TV Tray Set(4): Toolbox: Tool Chest: Trash Can: Trunk: Wagon: Waste Basket: Work Bench: CARTONS Dish Pack: 1.5 Cubic Foot: Book Box: 3 Cubic Foot: 4.5 Cubic Foot: 6 Cubic Foot: 6.5 Cubic Foot: Lamp Shade Carton: Wardrobe Carton: Mirror/Picture Carton: Comments/Any Other Information BACK