Information will not be provided to anyone outside of Advantage Moving.
Enter how many of each item in the blank provided to the left. Leave blank items not moving. To list "others", enter the number and name of each item, and separate them using commas (Example: 1 table, 2 drawers, 3 fans).
Phone (1): Phone(2):
E-mail:
Flights of Stairs none 0.5 1.0 1.5 2.0 2.5 3.0 Elevator
Move To City: State: Zip Code:
How did you hear about us?: - - Select - - Yellow Pages Advertisement Flyer Moving Truck Search Engine Quote Service Referral Repeat Customer Other Referred by: - - Select - - Real-estate Agent Apt. Manager Sales Rep. Web Service Family Friend Neighbor