Tell Us About Your Move

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Tell Us About Your Move

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Name*

First Last

Phone*

Email*

Mailing Address

Street Address City State / Province / Region ZIP / Postal Code

Moving From

Address*

Street Address Address Line 2 City State ZIP Code

Dwelling Type*

Levels*

Elevators*

Easy Moving Van Access (Long walk between parking lot and apartment?)*

Moving To

Address*

Street Address Address Line 2 City State ZIP Code

Dwelling Type*

Levels*

Elevators*

Easy Moving Van Access (Long walk between parking lot and apartment?)*

Desired Move Date*

Living Room

Couches

Loveseats

Sectional

Recliners

Chairs

Ottomans

Large Rugs

Medium Rugs

Mirrors

Tables

Wall Units

Entertainment Centers

Bookcases

Cabinets

TV Carts

TVs UNDER 27"

TVs OVER 27"

Big Screen TVs

Stereo Systems

Stereo Rack Systems

Dining Room

Dining Table

Chairs

Buffet

Mirrors

Hutches

Cabinets

Other Tables

Large Rugs

Medium Rugs

Family Room

Couches

Loveseats

Sectionals

Recliners

Chairs

Ottomans

Stereo Systems

Stereo Racks

Bookcases

Tables

Large Rugs

Medium Rugs

Entertainment Centers

Desks

TVs UNDER 27"

TVs OVER 27"

Big Screen TVs

Study - Home Office

Couches

Loveseats

Recliners

Chairs

Ottomans

Stereo Systems

Stereo Racks

Bookcases

Tables

Large Rugs

Medium Rugs

File Cabinets

Desks

TVs UNDER 27"

TVs OVER 27"

Bedrooms

King Beds

Queen Beds

Double Beds

Single Bed

Canopies

Bunk Beds

Day Beds

Chest of Drawers

Dressers

Mirrors

Armoires

Cedar Chests

Large Rugs

Medium Rugs

Bookcases

Desk

Wall Units

TVs UNDER 27"

TVs OVER 27"

Kitchen and Utility Room

Refrigerators

Freezers

Stoves

Microwaves

Kitchen Tables

Kitchen Chairs

Clothes Washers

Clothes Dryers

Other Items

Patio Tables

Patio Chairs

Pool Tables

Card/Game Tables

BBQ Grills

Bar Stools

Baby Grand Pianos

Upright Pianos

Sewing Machines

Bicycles

Framed Artwork

File Cabinets

Large Tool Boxes

Lawn Mowers

Riding Mowers

Estimated Box Count

Small Boxes (Books, Records, CD's)

Medium Boxes (Dishes, Kitchen Utensils, Knick Knacks)

Large Boxes (Pillows, Cushions, Clothing)

Wardrobe Boxes

Do You Need Help Packing?

Small Boxes Needed

Medium Boxes Needed

Large Boxes Needed

Dish Barrels Needed

Wardrobe Boxes Needed

Remarks, Special Instructions, Unlisted Items, Etc.

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Email

david@clearlakemovers.com

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Phone

(281) 532-4889 or
(281) 554-2118

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Office Hours

Mon – Fri: 7AM-7PM
Sat: 9AM-5PM
Sun: 9AM-5PM

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