Local Move Estimate (Vermont Only)

Name:

Email:

Home Phone:

Work Phone:

Fax:

Estimated Move Date:

NOTE: For out-of-state moves, submit our Interstate Move Estimate form

Address:

City:

Zip:

State:

# of Bedrooms:

# of Rooms

Location Information

Square Footage:

Piano

Yes     No

Safe

Yes     No

Pool Table

Yes     No

Riding Mower

Yes     No

Refridgerator/Freezer

Yes     No

Washer/Dryer

Yes     No

Will temporary storage be needed?

Yes     No

Will destination residence be ready by time of move?

Yes     No

How would you describe the driveway access where you're moving FROM?

Select One: Good    Fair    Bad

Select All that apply: Steep      Narrow     Curvy

How would you describe the driveway access where you're moving TO?

Select One: Good    Fair    Bad

Select All that apply: Steep      Narrow     Curvy

Comments: