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Licensed & Insured
DOT #35146
USDOT #940115

914.761.3961
845.424.4151
800.796.1542

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Free Estimate

Personal Information

* Denotes required field.

* First Name:

* Last Name:

City:

State:
 Zip:

* Home Phone:

Work Phone:

Fax:

* E-Mail:

Best time to contact you:

Estimated move date:

Moving Information

Moving From:

Moving To:

Address:

Address:

City:

City:

State:

State:

Zip:

Zip:

Type of dwelling:

Type of dwelling:

Elevator: Yes No
# of Floors:

Elevator: Yes No
# of Floors:

Are there multiple pick-up or drop-off locations? Yes No

Packing

Will you need: Packing Unpacking Storage

How did you find our web site?

How to use this form

Click on each item below for an expanded list of choices.

To use this form:

  • Please click on the name of the room in which you have furniture.
  • A list of items will open up.
  • Please check off the items you wish to move.
  • If there is a room you have that is not listed, or if there are furniture or other items that are not listed, please write those into the comments section.

Thank you.

Appliances

Baby/Child

Bedroom

Boxes

Dining Room

Family Room

Kitchen

Living Room

Office

Other

Equipment

Outdoors

And finally

In case we forgot anything, please feel free to add additional items or any special instructions in the area below.

Thank you for taking the time to fill out this form. It will help us provide you with the most accurate quote possible.

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