General Info
How did you learn about Rock's Moving? (Referral, phone book,
moving trucks,
Internet, other)
email address
Your Name (optional)
Home or Cell Phone (optional)
Work Phone (optional)
Approx. Move Date
Zip Code You Are Moving From
Town You Are Moving From
Zip Code You Are Moving To
Town You Are Moving To
Moving From Info
From what are you moving?
(House, apartment, condo, office or other)
Number of bedrooms where you are moving from? If applicable.
(One BR, 2 BR, 3 BR, 4 or more BRs)
What floor(s) are you moving from?
1st Floor
2nd Floor
3rd Floor - or -
1st and 2nd floors
1st, 2nd and 3rd Floor
Do you have stairs or an elevator?
Neither
Stairs
Elevator
Approx. distance from where we would park to your door
(or to the bottom of the stairs/elevator)?
Moving To Info
Into what type of residence/office are you moving? Select One.
(House, apartment, condo, office or other)
Number of bedrooms into which you are moving? If applicable.
(One BR, 2 BR, 3 BR, 4 or more BRs)
To what floor(s) are you moving?
1st Floor
2nd Floor
3rd Floor - or -
1st and 2nd floors
1st, 2nd and 3rd Floor
Do you have stairs or an elevator?
Neither
Stairs
Elevator
Approx. distance from where we would park to your door
(or to the bottom of the stairs/elevator)?
Additional Info
Approx. number of boxes we will be moving for you. (We
know this is difficult, but just take your best guess)
Will we be moving your hanging clothes? (Yes or No)
If yes, how many free wardbrobe boxes do you think you
will need? The boxes are two feet wide. Four boxes are provided for
free, extra boxes are $5 each.
Will we be doing the disassembling and reassembling or
will you?
I will disassemble/reassemble -or-
Rocks will disassemble/reassemble
Approx. drive time (not miles) between the two locations.
Please list room by room
the furniture that we will be moving. Do
not mention any items that you plan on taking yourself or any items which
will be in boxes. If a piece of furniture is more than one piece, please
write the number of pieces that it breaks down into.
Show me an example.
Any additional information
that you think is pertinent to your move. This field is optional and may
be left blank.
Example
Here is an example of how to list the furniture for a one bedroom apartment:
MBR: Queen bed with headboard, double
dresser, single dresser, nightstand
Living Room: sleeper couch, loveseat,
recliner, coffee table (glass top), 2 end tables, entertainment center
(3 pieces), 27 TV.
Dining Room: table and 4 chairs,
China cabinet (2 pieces which are not fastened )
Kitchen: Microwave and cart
Patio: plastic table and 3 stackable
chairs
Appliances: washer and dryer
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