SMALL MOVE SPECIALISTS

"No move is too small"

Voice: 301-515-7241 -------- Fax: 301-515-4100
e-mail: smallmove@erols.com


LONG DISTANCE MOVE ESTIMATE REQUEST FORM

To receive an estimate for your long distance move, please enter the following information in the spaces provided and then click on the "Submit Estimate Request" button below.

Name:
Home Phone:
Business Phone:
Email:
FAX:
Moving Date:

Address shipping from (include apt. number if applicable):

Please check if moving to a private residence () or business ()
If items to be moved are on an upper floor, how many flights of stairs from the ground floor?
Is there an elevator available? Yes

Address shipping to (include apt. number if applicable):

Please check if moving to a private residence () or business ()
If items are to be delivered on an upper floor, how many flights of stairs from the ground floor?
Is there an elevator available? Yes


Items to be Moved

Please complete the following schedule of items to be moved. If an item is not listed, describe the item in the "other" section below and include the dimensions in the "Comments" section below if possible.
ITEM
QUANTITY
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.


Other Items

Please list items not shown above in the space, below
ITEM
QUANTITY
1.
2.
3.
4.
5.
6.

Comments:

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Page created by:
Craig Austin - Buckeyes2@aol.com