Estimate Request Form
04/02/2012
Customer Information
First Name
Last Name
Phone
Alt. Phone
Email
Confirm Email
Fax
Location Information
From Address:
Address
City
Province
Country
Postal Code
To Address:
Address
City
Province
Country
Postal Code
Moving Information
Move Date:
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January
February
March
April
May
June
July
August
September
October
November
December
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
MoveTime
00
01
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03
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05
06
07
08
09
10
11
12
00
05
10
15
20
25
30
35
40
45
50
55
AM
PM
Square Footage of Pickup Address
100-500
500-1000
1000-1500
1500-2000
2000-3000
3000-4000
4000-5000
5000-6000
6000-7000
7000-8000
9000 +
Number of Rooms?
Batchelor Apartment
1
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94
95
96
97
98
99
100 or more
What is the value of your personal property?
(so we can calculate how much insurance to apply to your move)
$0
$5000
$10000
$15000
$20000
$25000
$30000
$40000
$50000
$60000
$70000
$80000
$90000
$100000
$125000
$150000
$175000
$200000
Items to be Moved
Number of Boxes?
0
1
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3
4
5
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199
200
Number of Couches?
0
1
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5
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8
9
10
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14
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17
18
19
20
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22
23
24
25
Number of Beds?
0
1
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3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Number of special items to be padded and shrink wrapped or extra special attention? ie. flat screen televisions, china cabinets, leather couches, plaster frame mirrors, glass tabletops, marble.
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Number of Dressers?
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Other Bulky Items?
0
1
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3
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5
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10
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96
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98
99
100
Garden Shed?
Major Appliances?
0
1
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5
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48
49
50
Piano?
Big Screen TV's?
Total number of items so far
Is the total number of items above accurate? If you think there are more miscellaneous items that you need to add to the above number please select a number to be added to the total here:
0
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49
50
MISC ITEMS
Grand total number of items
Would you like us to supply cardboard rental wardrobes to handle your clothing? If yes, select the number of wardrobes required. With 24" of hanging rod space, $10 each .
0
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24
25
Truck Size Estimate
To help us create a more accurate estimate, please
click on the truck
, from the pictures below, that you think will fit all of your belongings that need to be moved.
Do you Live in an apartment?
What floor is the Pick-up apartment on?
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100
Is there an elevator at Pickup?
What floor is the Drop-off apartment on?
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99
100
Is there an elevator at Drop-off?
Access?
Special Access problems At Pick-up?
(i.e. Steep Driveway, Exterior Stairs)
Special Access problems At Drop-off?
(i.e. Steep Driveway, Exterior Stairs)
Number of meters from moving truck parking to house/apt. at Pick-up?
1
2
3
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5
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180
181
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185
186
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188
189
190
191
192
193
194
195
196
197
198
199
200
Number of meters from moving truck parking to house/apt. at Drop-off?
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2
3
4
5
6
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10
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82
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86
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100
101
102
103
104
105
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107
108
109
110
111
112
113
114
115
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120
121
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126
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128
129
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What can you tell us about your move?
Submit Request
