Corporate Headquarters
136 41st Street
Brooklyn, NY 11232
1-800-USA-MOVE
(800-872-6683)

Move Date:
: Name (required) : Email Address (required) : Phone (required)
Best time to call:  Any time 9:00-10:30 10:30-12:00 12:00-1:30 1:30-3:00 3:00-4:30	Best day:  Any day Monday Tuesday Wednesday Thursday Friday
Moving From	Moving To
Address:  : City  : State  : Zip*	Address:  : City  : State  : Zip*
Household Information	Household Information
Bedrooms:  .. Select One .. One Two Three Four or more Formal Dining:  .. Select One .. Yes No Eat In Kitchen:  .. Select One .. Yes No Family Room / Den:  .. Select One .. Yes No	Livingroom:  .. Select One .. Yes No Basement:  .. Select One .. Yes No Attic:  .. Select One .. Yes No   Shed:  .. Select One .. Yes No
Appliance Services	Oversized Items
Washer:  .. Select One .. Yes No Electric Dryer:  .. Select One .. Yes No Gas Dryer:  .. Select One .. Yes No Freezer:  .. Select One .. Yes No	Auto:  .. Select One .. one two three Piano:  .. Select One .. Yes No Other:
Packing:  .. Select One .. No Pack Partial Pack Full Pack Storage:  .. Select One .. Yes No Length Of Storage:	Approximate Value Of Belongings:  .. Select One .. $10,000 $25,000 $50,000 $75,000 $100,000 Received Other Quote?:  .. Select One .. Yes No
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