Moving Quote Form – blackandwhitemoving.com

Full Name

Please enter your full name.

This field is required.

Email Address

Please enter a valid email address for communication.

This field is required.

Phone Number

Please enter your phone number including the area code.

This field is required.

Current Location

Please enter the area/town you are currently located in.

This field is required.

New Location

Please enter the area/town you are going to be moving to. Put NA if your not sure.

This field is required.

Moving From (House/Apartment/Storage)

Please select the type of place you are moving from.

House

Apartment

Storage

This field is required.

Moving To (House/Apartment/Storage)

Please select the type of place you are moving to.

House

Apartment

Storage

This field is required.

Approximate Number of Boxes

Please provide an estimate of the number of boxes. Put NA if your not sure.

This field is required.

Main Furniture Items Being Moved

Please list any large items such as furniture or appliances.

This field is required.

Preferred Moving Date

Please list the preferred day(s) that you’re wanting to move.

This field is required.