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Customer InformationName(Required) First Last Home Phone(Required)Work PhoneCell PhoneFax NumberCurrent Address(Required) Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern 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SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Move DetailsApprox. Move Date MM slash DD slash YYYY Distance (in ft) from truck to CURRENT front doorFlights of stairs at CURRENT location (over 8 steps)Elevator Available at CURRENT Location? Yes No Distance (in ft) from truck to NEW front doorFlights of stairs at NEW location (over 8 steps)Elevator Available at NEW Location? Yes No How would you like to be contacted with your price? Home Phone Email Cell Phone Work Phone Fax Machine How did you hear about us?Special NotesLiving Room InventoryEnter the quantity for each itemBenchChair - ArmChair - OccasionalChair - OverstuffedChair - ReclinerChair - RockerChair - StraightClock / GrandfatherDay BedDesk - SecretaryDesk - SmallElectronicsEntertainment CenterFireplace Equip.Foot StoolHall ChestLamp - PoleLamp - TableMagazine RackMusic CabinetPiano BenchPiano - SpinetPiano - UprightPiano - Baby GrandPicturePlant - SmallPlant - LargeRug - SmallRug - LargeRug - PadSofa - 2 CushionSofa - 3 CushionSofa - 4 CushionSofa with ReclinerSofa - Hide-a-BedSpeakersStereo CabinetTable - Coffee/EndTable - Drop LeafTV (19" or less)TV (20-40")TV (Over 40")TV Snack TraysTV StandBedroom InventoryEnter the quantity for each itemArmoireBed - YouthBed - SingleBed - DoubleBed - QueenBed - KingBed - Bunk/TrundleBed - Water (Assembled)Bed - Water (Disassembled)Bed - RollawayBookcase - LargeBookcase - SmallChair - Child'sChair - DeskChair - OccasionalChair - RockerCedar ChestChanging TableClothes TreeComputerCredenzaCribDesk - SmallDesk - LargeDresser - ChestDresser - DoubleDresser - TripleExercise EquipmentFile Cabinet - SmallFile Cabinet - LargeFutonHamperHanging Clothes (2 ft)MirrorNight TablePlaypenRug - SmallRug - LargeSewing MachineTable - SmallVanityWardrobeKitchen & Dining Room InventoryEnter the quantity for each itemBakers RackBar - PortableBar StoolBBQ / GrillBenchBookcase - LargeBookcase - SmallBuffetCabinetCard Table SetChair - Dining RoomChair - FoldingChair - HighChair - KitchenChina CabinetCorner CabinetCurio CabinetHutchIroning BoardMicrowave CartServing CartStoolTable - Dining RoomTable - KitchenTea CartWaste BasketWater CoolerBasement / Attic / Garage / Outdoor InventoryEnter the quantity for each itemBikeBoxes - SmallBoxes - MediumBoxes - LargeClothes BasketCoolerCotFanFoot LockerGarbage CanGliderGolf BagGun CabinetGun SafeGym/Workout CenterHammockHose/ReelHot TubJuke BoxKayakLadder - ExtensionLadder - StepLawn CartLawn ChairLockerLumberMower - HandMower - PowerMower - RidingOutdoor SculptureOutdoor ToolsPatio ChairPatio TablePet CagePicnic BenchPicnic TablePing Pong TablePlanter - SmallPlanter - LargePool TablePorch SwingPortable Basketball HoopPower ToolPressure WasherProjection ScreenPropane TankRollawaySafe - SmallSafe - LargeSand BoxSaw HorseShelving UnitShop VacSkisSledSnow BlowerSports EquipmentStorage CabinetStrollerSuitcaseSwing SetTable - FoldingTackle BoxTentTiresTool BoxTool ChestToy ChestToy - LargeTrampolineTricycleTrunkUmbrellaWagonWheel BarrowWork BenchOffice / Den InventoryEnter the quantity for each itemBookcase - SmallBookcase - LargeCD/Video RackChair - ArmChair - DeskChair - OccasionalChair - RockerCredenzaDesk - SmallDesk - LargeFile Cabinet - SmallFile Cabinet - LargeAppliancesEnter the quantity for each itemAir ConditionerClothes DryerClothes WasherCompactorDehumidifierDishwasherFreezer (under 10 cu ft)Freezer (10-16 cu ft)Freezer (over 16 cu ft)HumidifierMicrowaveRefrigerator (under 7 cu ft)Refrigerator (7-10 cu ft)Refrigerator (over 10 cu ft)Stove / RangeVacuum CleanerAdditional ItemsList any other items not mentioned aboveOther Item 1Other Item 2Other Item 3Other Item 4Other Item 5Other Item 6 Δ
Moyer & Sons Moving & Storage Named 2025 ATA MSC Independent Mover of the Year!
