| First Name: * |
|
| Last Name: * |
|
| Initial Address (Complete Address, including City, State, & Zip code): * |
|
| Secondary Pick-up/Destination Address, if Applicable, specify if pick-up or destination (Complete Address, including City, State, & Zip code): * |
|
| Destination Address If Applicable (Complete Address, including City, State, & Zip code): * |
|
| Email Address: * |
|
| Cell Phone Number: * |
|
| Alternate Contact Number, If Applicable: * |
|
| Preferred Move Date: * |
|
| Is Your Date Flexible?: |
|
| Preferred Move Time (we usually schedule an arrival window): * |
|
| Is Your Time Flexible?: |
|
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.) |
|
| Are There Any 3 (or more) Floor Walk-ups/Homes With 3 Floors?: * |
|
| Any Elevators?: * |
|
| Are There Any Really Long Walks (hallways or otherwise)?: * |
|
| Where Did You Hear About Ted's Moving?: * |
|
Do Any Of The Following Apply To Your Move?:
|
Sleeper SofaKing Size Bed WasherDryer
Fridge Upright PianoBaby Grand Piano
Grand Piano
|
| In Addition To The Checklist, What Are Your Other Heavy And Large Items? (please include any armoires, hot tubs, pool tables, trampolines, etc): * |
|
| Approximately How Many Boxes? (range is fine): * |
|
| Preferred method of transport (1st choice): |
|
| Preferred method of transport (2nd choice): |
|
| Do You Need Our Help Locally Or Long-distance?: |
|
Do You Require Help Loading, Unloading, Or Both?:
|
|
Preferred Method Of Payment (Debit, Credit, And PayPal Incur A 3% Processing Fee):
|
Cash CheckDebitCreditPayPal |
| What Questions Would You Ask Of Us?: * |
|
Moving Details (Comments/Inventory/Special Circumstances, description of apartment bedroom
quantity and stairs per location) * |
|
| Security Code: * |
 |
