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Online Quote Request Form

Please fill out the required fields as indicated by *.

Online Quote Request Form
Contact Information
*Name:
Company:
*Move Date:
*Your email:
Home Phone:
Work Phone:
Moble Phone:
How did you find us?
Current Address
*Address:
*City:
*State:
*Zip:
*# of flight of stairs:
Long Walk in Excess of
Sloped Path?
Elevator Access?	YES
Other information:
New Address
*Address:
*City:
*State:
*Zip:
*# of flight of stairs:
Long Walk in Excess of
Sloped Path?
Elevator Access?	YES
Other information:

Please enter numeric quantities in the following fields (Leave blank if not applicable).

Living Room

Sofa	Loveseat	Hide-a-Bed	Sectional	Futon
Piano Bench	Spinet Piano *	Upright Piano *	Baby Grand Piano *	Concert Grand Piano *
TV 25"-28"	TV 29"-34"	TV 35"-40"	TV 41"-52"	Large Screen TV > 52" *
Aquarium 10-20 GAL	Aquarium 21-40 GAL	Aquarium 41-60 GAL	Aquarium 61-75 GAL	Aquarium > 75 GAL *
Organ *	Entertainment Center	Oversized Entertainment Center (1 Pc.) *	Bookcases	Recliners, Arm-Chairs, Rockers
Ottomans or Footstool	Coffee or End-Table	Console TV or Stereo	Portable TV	TV Stand
Stereo Components, Speakers	Floor Speakers	Floor Lamps	Stereo Cabinet	Wall Mirror
Standing Mirror	Sofa Size Picture	Shrunk *	Sofa Table

BEDROOM

King or Queen Size Bed **	Full Size Bed **	Twin Size Bed **	Bunk Bed **	Water Bed **
Trundle Bed **	Sleigh Bed **	Captains Bed **	Canopy Bed **	Platform Bed **
Poster Bed **	Bridge Bed **	Day Bed **	Oversize Head/Footboard **	Dresser
Triple Dresser	Mirror (Detached) **	Chest of Drawers	Armoire or Wardrobe (Empty)	Oversize Armoire/Wardrobe (Empty) *
Nightstand	Cedar Chest or Trunk	Crib and/or Changing Table **	Linear Feet of Clothes (on rod)	Small Desk

DINING ROOM

Dining or Kitchen Table		Dining Chairs or Bar Stools		China Cabinet (1 or 2 pieces)		Buffet or Server		Glass Table Top
Marble Table Top *

KITCHEN

Stove or Oven **

Refrigerator or Freezer **

Washer or Dryer **

Microwave

Microwave Stand

OFFICE

Office or Roll-Top Desk	Desk Extension **	Desk Chair	Desk Mat	Credenza
2 Drawer Lateral File Cabinet	3 Drawer Lateral File Cabinet	4 Drawer Lateral File Cabinet	5 Drawer Lateral File Cabinet	2 Drawer Fireproof File Cabinet *
4 Drawer Fireproof File Cabinet *	2 Drawer Lateral Fireproof File Cabinet *	4 Drawer Lateral Fireproof File Cabinet *	2 Drawer File Cabinet	4 Drawer File Cabinet
Conference Table *	Drafting Table	Copier	Computer Table	Hutch
Printer Stand	Computer Components **	Gun Cabinet	Gun Safe (Non-Fireproof)	Fireproof Gun Safe *
Floor Safe *	Full Size Copier *

MISCELLANEOUS

Boxes Less than 50 lbs.	Boxes More than 50 lbs.	Glass Tops	Glass Shelves	Marble Tops
Area Rugs	Large Plants	Small Plants	Sewing Machines	Bar-B-Que or Bicycle
Bird Bath *	Ironing Board or Vacuum	Vanity	Lawn Mower	Metal Shelf
Curio Cabinet	Etagere'	Hall Tree	Step Ladder	Folding Ladder
Extension Ladder *	Plant Stand	Work Bench *	Rolling Toolchest	Yard Tools (Non-Electric)
Plastic Patio Table	Plastic Patio Chairs	Iron/Wood Patio Table	Iron/Wood Patio Chairs	Patio Lounge Chair
Patio Swing/Glider Swing	Concrete Table *	Concrete Bench *	Canopy **	Floor Lamp
Exercise Machine *


Other Items not Mentioned Above:	Other Comments/Questions:

NOTES

* Items marked with an asterisk (*) need to be called into office for price verification due to move conditions.

** Disassembly and reassembly available upon request for an additional fee depending on items.

Minimum move price is $86.50 (2 items or less, within 5 mile radius, ground level/access within 100' (feet) at each location.

Prices may vary due to mileage and moving conditions. Anything Goes Moving, Inc. will contact you to verify terms and conditions.

ANYTHING GOES MOVING

Anywhere, Anytime, Anything Goes!

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