Quote/Box Order Form

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Creating Customers For Life

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Contact Information
*Name:
*E-mail:
*Home Phone:
Work Phone:
Cell Phone:
Fax:
Name If Business:
How did you hear about us?
Estimated Date of Move
Moving From
*Address 1:
Address 2:
*City:
*State:
Country:
*Zip Code:
Residential:
Commercial: Number of Employees:
Number of Rooms:
Multilevel Access Stairs: Elevator:
Number of Flights:
Major Appliances/ Bulky Articles: Refrigerator Range Washer/Dryer Piano Other
Approximate SQ Footage:
Storage Required:
Packing Required:
Moving To
Address 1:
Address 2:
*City:
*State:
Country:
*Zip Code:
Residential:
Commercial:
Number of Rooms:
Multilevel Access Stairs: Elevator:
Number of Flights:
Major Appliances/ Bulky Articles: Refrigerator Range Washer/Dryer Piano Other
Approximate SQ Footage:
Vehicles
Number of Vehicles Being moved:
Year Make Model Running
Yes No
Yes No
Yes No
Yes No
Have the Above Vehicles Been Modified? Yes No
If YES please explain
Pre-Order Boxes and Packaging
Complimentary box delivery is available with a minimum purchase
Dish Packs Size: 18” x 18” x 28" Price: $10.50 each pre-order qty (Each)
Office Moving Box Size: 16 2/3” x 12 ½” x 12 ½” Price: $1.99 each pre-order qty (Each)
1.5 Small Box Size: 16 3/8” x 12 5/8” x 23 5/8” Price: $1.99 each pre-order qty (Each)
3.0 Medium Box Size: 18 1/8” x 18” x 16 1/16” Price: $2.59 each pre-order qty (Each)
4.5 Large Box Size: 18” x 18” x 24” Price: $2.99 each pre-order qty (Each)
6.0 X-Large Box Size: 22 ” x 22 ” x 21 ½" Price: $3.50 each pre-order qty (Each)
Lamp Cartons Size: 12” x 12” x 40" Price: $7.50 each pre-order qty (Each)
Mattress Bags Size: Twin, Double, Queen and King Price: $15.00 each pre-order qty (Each)
Wardrobe Sizes: 20” x 20” x 45" (stock) or Special Order 24”x 20”x 47 3/4” Price: $11.50 each pre-order qty (Each)
Picture and Mirror Box Size: 40”x 60” Price: $8.50 each pre-order qty (Each)
Paper Pads Size 54" x 64" Price: $1.85 each pre-order qty (Each)
Paper Size: 30 Pound Roll Price: $36.00 each pre-order qty (Each)
Tape Size: 55 yard Price: $2.50 each pre-order qty (Each)
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