| First Name: * |
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| Last Name: * |
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| Initial Address (Complete Address, including City, State, & Zip code): * |
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| Secondary Pick-up/Destination Address, if Applicable, specify if pick-up or destination (Complete Address, including City, State, & Zip code): * |
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| Destination Address If Applicable (Complete Address, including City, State, & Zip code): * |
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| Email Address: * |
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| Cell Phone Number: * |
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| Alternate Contact Number, If Applicable: * |
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| Preferred Move Date: * |
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| Is Your Date Flexible?: |
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| Preferred Move Time (we usually schedule an arrival window): * |
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| Is Your Time Flexible?: |
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How Many Movers Would You Like?:
(this is a request only, but ultimately will depend on weight, inventory, and other moves that day. More movers=less time, so the total cost does not truly change.) |
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| Are There Any 3 (or more) Floor Walk-ups/Homes With 3 Floors?: * |
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| Any Elevators?: * |
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| Are There Any Really Long Walks (hallways or otherwise)?: * |
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| Where Did You Hear About Ted's Moving?: * |
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Do Any Of The Following Apply To Your Move?:
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Sleeper SofaKing Size Bed WasherDryer
Fridge Upright PianoBaby Grand Piano
Grand Piano
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| In Addition To The Checklist, What Are Your Other Heavy And Large Items? (please include any armoires, hot tubs, pool tables, trampolines, etc): * |
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| Approximately How Many Boxes? (range is fine): * |
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| Preferred method of transport (1st choice): |
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| Preferred method of transport (2nd choice): |
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| Do You Need Our Help Locally Or Long-distance?: |
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Do You Require Help Loading, Unloading, Or Both?:
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Preferred Method Of Payment (Debit, Credit, And PayPal Incur A 3% Processing Fee):
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Cash CheckDebitCreditPayPal |
| What Questions Would You Ask Of Us?: * |
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| Moving Details (Comments/Inventory/Special Circumstances, description of apartment bedroom quantity and stairs per location) * |
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