Rogue

Full Name*

First NameLast Name

Phone Number*

Cell Phone*

E-mail*

Preferred Moving Date*

MonthDayYear

Preferred Moving Time

AMPM

Do We Need Parking Permits?

YesNo

Is Rogue Packing For you?

YesNo

How Did you Hear About Rogue Moving?

Storage

Do you need Storage With Us?

YesNo

Street

Cross Street

City

State

Zip Code

Load?

Full MovePartial Move

Items in the Basement?

YesNo

Pick Up Type?

Length of Walk to the truck? (Approx. 1 car length = 10 feet)

Square Feet

Elevator or Stairs

Stairs: List the total flight of stairs the movers will have to climb at any one time from your home to the truck. Example: 1 flight to the 2nd floor and 1 flight to the basement would count as one flight as the movers would never climb two at a time. With the same example adding another flight outside of the home would count as two.

Disassembling?

YesNo

Moving to

Street

Cross Street

City

State

Zip code

Delivery Type?

Square Feet?

Elevator or Stairs

Stairs: List the total flight of stairs the movers will have to climb at any one time from your home to the truck. Example: 1 flight to the 2nd floor and 1 flight to the basement would count as one flight as the movers would never climb two at a time. With the same example adding another flight outside of the home would count as two.

Assembling?

YesNo

Additional Delivery?

YesNo

To Accurately Estimate your Quote we will need all of the Furniture that is being moved. (Example: 2 Beds, 1 coffee table, 3 desks, 2 book shelves, 4 side tables, 2 dressers, ext.)

All Furniture Being moved : *

Estimate Number of Packed Boxes Being moved:

If we are packing for you, Please let us know the number of boxes you will need.

Estimate Number of Boxes needed:

Moving Form