Please complete this form for a quick quote from Mr. Mover

Area Of House	# Of Each Item
BASEMENT
CHAIR – STRAIGHT
CHAIR – STUFFED
COUCH
DRYER
FREEZER
LOVE SEAT
TABLE – COFFEE OR END
TABLE – OTHER
TELEVISION – BIG SCREEN
TELEVISION – PORTABLE
WASHER
BEDROOMS
ARMOIRE/WARDROBE
BED – BABY (OR CRIB)
BED – QUEEN OR KING
BED – TWIN OR FULL
BED - WATERBED
BOOKSHELF
CEDAR CHEST
CHAIR – STRAIGHT
CHAIR – STUFFED
CHANGING TABLE
CHEST OF DRAWERS
COUCH
DRESSER
LOVE SEAT
NIGHTSTAND
ROCKER
TELEVISION – BIG SCREEN
TELEVISION – PORTABLE
GARAGE
BICYCLES
BOXES
GRILL
LADDER - ELEVATION
LADDER - STEP
LARGE POWER TOOLS
LUMBER
MOWER – LARGE RIDING
MOWER – PUSH STYLE
MOWER – SMALL RIDING
PATIO CHAIRS
PATIO TABLE
SNOW BLOWER
TILLER
TOOL CHEST
WAGON
WORKBENCH
LAUNDRY ROOM
CABINET
DRYER
TABLE
WASHER
LIVING ROOM - FAMILY ROOM
CHAIR – ROCKER OR STRAIGHT
CHAIR - STUFFED
ENTERTAINMENT CENTER - LARGE
ENTERTAINMENT CENTER - SMALL
LOVESEAT
ORGAN - LARGE
ORGAN - SMALL
OTTOMAN
PIANO - BABY GRAND
PIANO - SPINET
PIANO - UPRIGHT
SOFA
STEREO CABINET
TABLE - COFFEE
TABLE - END
TELEVISION - BIG SCREEN
TELEVISION - PORTABLE
OFFICE - STUDY
BOOKCASE - LARGE
BOOKCASE - SMALL
CHAIR – DESK
CHAIR – STUFFED
COMPUTER
COPY AND/OR FAX MACHINE
CREDENZA
DESK - EXECUTIVE
DESK - LARGE
DESK - SMALL
FILING CABINET – 2 DRAWER
FILING CABINET – 4 DRAWER
TABLE
MISCELLANEOUS
BOXES - SMALL
BOXES - LARGE
EXERCISE EQUIPMENT – PORTABLE
EXERCISE EQUIPMENT – LARGE STATIONARY
SEWING MACHINE (IN CABINET)
SEWING MACHINE (IN CASE)
TOY BOX
OTHER: Please List Additional Items In Spaces Below
Other
Other
Other
Other

Name:
Moving from: (city)
From house, condo or apartment?
# of bedrooms?
Moving to: (city)
Daytime phone #:
E-Mail address:
Fax #:
Approximate date of move:
Long carry or stairs involved? Please note details!

Note: If your Browser does not allow you to compete this form please use the following alternative methods to contact us

Please Print then fax your completed form to 614-985-6450

For immediate response call us at: 614-985-6683

We will use the information you supply only for the purpose stated. We do not release any information obtained through this website to third parties for any reason.