One Price Customer Move Information Form
Email address *
Your first and last name: *
Your answer
Best contact phone number *
Your answer
Date you want to move *
MM
/
DD
/
YYYY
Is this date flexible? *
Is this a "split move"? *
Service requested *
Location you are moving FROM:
Complex Name:
Your answer
Street Address:
Your answer
Apartment Number:
Your answer
City:
Your answer
Zip Code
Your answer
Location you are moving TO:
Complex Name:
Your answer
Street Address:
Your answer
Apartment Number:
Your answer
City:
Your answer
Zip Code:
Your answer
What are we moving?
Number of Bedrooms *
If moving a HOUSE, approx. square footage:
Number of boxes or totes
Bedroom Furnishings
Number of Beds
Number of Dressers
Number of Nightstands
Number of Lamps
Living & Family Room Furnishings
Number of Sofas
Number of Chairs
Number of Coffee Tables
Number of Side Tables
Number of Lamps
Kitchen & Dining
Size of Dining Table?
How Long is Your Buffet Table?
Number of Dining Chairs
Are we moving your refrigerator?
Are we moving your washer & dryer?
Do you have any specialty furniture? Please explain:
Your answer
Have you spoken to us yet?
How did you hear about us?
Comments or additional information you would like us to know about your move:
Your answer
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