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Smith Moving Co. does not provide packing. We only provide the service of moving items that have been packed prior to our arrival.

* Indicates required field

Name *

First

Last

Phone number *

Email *

Requested Date & Time of Move: *

CURRENT HOME ADDRESS *

Line 1

Line 2

City

State

Zip Code

Country

NEW HOME ADDRESS *

Line 1

Line 2

City

State

Zip Code

Country

SQUARE FOOTAGE OF CURRENT HOME *

SQUARE FOOTAGE OF NEW HOME *

HOW MANY MILES FROM YOUR CURRENT HOME TO YOUR NEW HOME? *

Are there stairs in either home? please specify. *

Approximate Number of Pieces being moved? *

For the following categories, please list all items needing to be moved. If the room doesn't apply to you, please enter "N/A". Although this is very detailed, this will help us provide an accurate quote for you and make sure we have the accurate amount of employees and space in our trailer on the day of your move.

BEDROOM 1: (bed, nightstand, dresser, chest, floor mirror, etc.) *

BEDROOM 2: (bed, nightstand, dresser, chest, floor mirror, etc.) *

BEDROOM 3: (bed, nightstand, dresser, chest, floor mirror, etc.) *

BEDROOM 4: (bed, nightstand, dresser, chest, floor mirror, etc.) *

KITCHEN: (dining room table, dining chairs, china cabinet, fridge, freezer, etc.) *

LIVING ROOM: (couch, ottoman, coffee table, end table, entertainment center, tv, etc.) *

LAUNDRY ROOM: (washer, dryer, etc.) *

GARAGE/SHED: (work bench, ladder, riding/push mower, deep freeze, storage shelves, etc.) *

BOXES: Please list a rough estimate on the number of boxes needing to be moved *

IF THERE ARE ANY OTHER OVERSIZED ITEMS (PIANO, SAFE, ETC.), PLEASE LIST THEM HERE: *

additional comments *

PICTURES OF ITEMS (OPTIONAL) *

Max file size: 20MB

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