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Moving Quote Request Form:

Please fill out the form below for your Contact

Contact And Move Information
First Name:
 Last Name:
 Target Move Date:
Home Phone:
 Cell Phone:
 Work Phone:
Email Address:
 Any Additional Comments:
Referred By:
 If Referred By Other:
 
Current Address Information
Address:
City:
 State:
 Zip Code:
Residence Type:
 If Other, Explain:
 Can we park within 20 feet of door? Check if yes
Accessible Elevator? 
 
Final Destination Address Information
Address:
City:
 State:
 Zip Code:
Residence Type:
 If Other, Explain:
 Can we park within 20 feet of door? 
Accessible Elevator? 
 
Service required
Loading Unloading Packing
Wrapping Driving Internal relocation of Merchandise
Require Truck?        
 
Load Size
8 foot 12 foot 16 foot
20 foot 24 foot 28 foot
40 foot 53 foot Other?
 
Type of Shipment
Local Over 100 miles Overseas
 

Inventory Information

 ( Enter the quantity of each item in the space provided. )
Bedroom
King Bed: Queen Bed: Single Bed: Full Bed:
Head Board: Foot Board: Post Bed: Canopy Bed:
Bridge Bed: Sleigh Bed: Day Bed: Trundle:
Bunk Bed: Captain Bed: Waterbed: Armoire:
Chest of Drawers: Small Dresser: Large Dresser: Mirror:
Night Stand: Vanity: Cedar Chest:  
Living Room
Sofa: Love seat: Hide-a-bed: Futon:
Recliner: Arm Chair: Rocker/Glider: Ottoman:
Table Lamp: Floor Lamp: Coffee Table: End Table:
Sofa Table: DVD/VCR: Stereo Component: Stereo Cabinet:
Big Screen TV (36" & Up): Console TV (21" - 35"): Portable TV (20" & Under): TV Stand:
Entertainment Center: Ent. Center Pieces: Bookcase: Baby Grand:
Grandfather Clock: Sewing Machine: Pictures: Ficus Tree:
Plants: Glasstop-Large: Glasstop-Med: Glasstop-Small:

Rugs:

Dining Room
Dining Table: Dining Chairs: Kitchen Table: Kitchen Chairs:
China Cabinet: Buffet: Is China Cab. 1 or 2 pieces: Curio Cabinet:
Baker's Rack: Wine Rack: Tea Cart: TV Trays:
Kitchen
Refrigerator: Freezer: Microwave Stand: Microwave :
Washer: Dryer: Pantry: Stove:
Vacuum: Ironing Board:    
Office
Large Desk: Small Desk: Writing Desk: Drafting Table:
Secretary Desk: Rolltop Desk: Desk Chair: Credenza:
File Cabinet 2 Drawer: File Cabinet 3 Drawer: File Cabinet 4 Drawer: Computer:
File Cabinet 5 Drawer: Printer: Scanner: Fax:
Desk Copier: Floor Copier:    
Exercise Equipment
Exercise Bike: Treadmill: Stair-Stepper: Health Rider:
Weight Bench: Pounds Of Weights: Home Gym: Bicycle:
Miscellaneous
Lawn mower: Edger: Weed Eater: Garden Tools:
Water Hose: Wheel Barrow: Ladder: Work Bench:
Small Tool Box: Large Tool Box: Patio Table: Patio Chairs:
Patio Swing: Umbrella: Air Compressor: Barbeque Pit:
Additional Items
Description: Quantity:
Description: Quantity:
Description: Quantity:
Description: Quantity:
Boxes
Number of 1 man boxes (Under 50 lbs): Number of 2 man boxes (Over 50 lbs):
   

Once you have completed this form hit submit and a FAST-STEADY-XPRESS representative will contact you.
     
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