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Online Estimate Form
First Name
:
*
Last Name
:
*
Home Phone
:
*
E-mail
:
*
Work Phone:
Fax:
Moving From
Moving To
Address
Address
City
*
City
*
State
*
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
CA - California
CO - Colorado
CT - Connecticut
DC - D.C. Washington
DE - Delaware
FL - Florida
GA - Georgia
GU - Guam
HI - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Louisiana
ME - Maine
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
WV - West Virginia
WI - Wisconsin
WY - Wyoming
State
*
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
CA - California
CO - Colorado
CT - Connecticut
DC - D.C. Washington
DE - Delaware
FL - Florida
GA - Georgia
GU - Guam
HI - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Louisiana
ME - Maine
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
WV - West Virginia
WI - Wisconsin
WY - Wyoming
Zip
Zip
Private House
Private House
Elevator
Elevator
Walk Up # of flights
Walk Up # of flights
Apt. Size
Choose Size
Studio
1 Bed Room
2 Bed Room
3 Bed Room
4 Bed Room
Larger
Apt. Size
Choose Size
Studio
1 Bed Room
2 Bed Room
3 Bed Room
4 Bed Room
Larger
Estimated Moving Date
January
February
March
April
May
June
July
August
September
October
November
December
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
13th
14th
15th
16th
17th
18th
19th
20th
21st
22nd
23rd
24th
25th
26th
27th
28th
29th
30th
31st
2007
2008
2009
How did you hear about us?
Please Choose:
Friend
Family Member
Repeat Customer
Brooklyn RE Agent
Manhattan RE Agent
Google
SouthBrooklyn.net
Craigslist.org
1010 WINS
MetroSource
Movie Theater Ad
Yellow Pages
Saw The Truck
Word Of Mouth
ALLERGY ALERT: Do You have Pets:
YES
NO
Please enter the number of articles in each box. (If zero leave box blank.)
LIVING ROOM
Air Conditioner
Armoire
Large Armoire
Bar
Bar Stool
Book Case
Book Shelf 2-3 shelf
Book Shelf 3-6 shelf
Chair: Straight Back
Coffee Table
Couch
Credenza
Curio
Day Bed
End Table
Entertainment Center
Futon
Grandfather Clock
Lamp, Floor
Lounge
Loveseat
Ottoman
Piano, Grand
Piano Bench
Piano, Spinet
Piano, Upright/Baby Grand
Picture 2x2 ft or less
Picture 2x2 ft or more
Rugs, Small
Rugs, Large
Metal Shelves
Sofa, 3 Cushion
Sectional Sofa (# of sects.)
Sofa Chair
Speaker
Stereo
Table Lamp
Table, Large
Table, Small
TV
TV Plasma, Flat (high-end)
TV Stand
TV Floor Model
VCR/DVD/AV Components
Wall Unit P/Piece
DINING ROOM
Buffet
Buffet Base
Dining Chair
Dining Table
Hutch Top
Server
KITCHEN
Baker's Rack
Cabinet
Foot Stool
Kitchen Chair
Kitchen Table
Microwave Cart
Metro Shelving
Stool
APPLIANCES
Dishwasher
Dryer
Fridge Small
Heater
Microwave
Refrigerator
Sewing Machine
Stove
Vacuum
Washer
HOME OFFICE
Desk, Large
Desk, Small
Desk Chair
File Cabinet, 2 drawers
File Cabinet, 3-5 Drawers
Computer
Printer
BEDROOM
Baby Crib
Cedar Chest
Chest
Chest of Drawer
Child's Chair
Child's Table
Double Bed
Double Dresser
Dresser Single
King Bed
Mirror, Large
Mirror, Small
Night Table
Queen Bed
Single Bed
Toy Chest
Trunk
Twin Bed
Vanity
Wardrobe, Cabinet
PORCH & OUTDOOR
Chaise Lounge
Grill
Outdoor Chair
Outdoor Table
Plants
Umbrella
Outdoor Items to be discussed:
MISCELLANEOUS
Bike
Exercise Bike
Fan
Folding Chair
Golf Bag
Hamper
Ironing Board
Playpen
Sled
Step Ladder
Suitcase
Toolbox
Trash Can
Work Bench
BOXES
Please indicate the estimated number of boxes to be moved.
You may purchase supplies from us or use your own. (When we call you, we'll discuss this in more detail, don't worry!)
—I will be using my own boxes, thanks.
GothamBoxes™ **AVAILABLE IN NYC 5 BOROUGHS ONLY**
Small Bins
—2.3 cu ft.
Large Bins
—4.1 cu ft.
Cardboard Boxes
Small Box
(1.5 cu.ft.) - 17”x13”x12” - Books/Records
Medium Box
(3.1 cu.ft.) - 18”x18”x16” - Miscellaneous
Large Box
(4.5 cu.ft.) - 24”x18”x18” - Clothing
Dish Box
(5.2 cu.ft.) - 18”x18”x27” - Dishes/Glasses
Wardrobe Box w/bar
(13.4 cu.ft.) - 24”x21”x48” - Hanging Clothing
Picture/Mirror Box
(2 pcs.) - 40”x60”x4” - Adjustable
Letter Tote w/Handles
(2.0 cu.ft.) - 24”x12”x12” - Letter Files
Legal Tote w/Handles
(2.3 cu.ft.) - 22”x15”x12” - Legal Files
Please enter any additional information,
questions or feedback below:
US DOT: 1124999
ICC MC: 457707 NYS DOT: 35777