JotForm

Name *

First Name Last Name

E-Mail *

Email

Phone Number *

- Area Code Phone Number

Secondary Phone (optional)

- Area Code Phone Number

Preferred Method of Contact *

Phone Email Both

Furniture being moved *

Approximate Number of Boxes *

Move Date *

- Month - Day Year

Flexible Date *

Yes No

Time of Day Preferred (AM/PM) *

: Hour Minutes

Moving From

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Apartment Size *

Stairs *

Yes No

Elevator *

Yes No

Floor *

Moving To

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Stairs *

Yes No

Elevator *

Yes No

Floor *

Other important Information *

How did you hear about us?

>> IMPORTANT NOTE

The Estimate to be provided will include the crew’s travel time to and from the RARE warehouse. The Estimate will not include additional insurance selected; items packed and/or moved; materials used to pack and/or move additional items, and/or additional services such as hoisting or craning. If there are additional items to be charged, you will receive an Estimate Addendum. Please keep in mind that RARE’s insurance carrier will not cover any items that are made of pressboard or particle board.

By entering your name and submitting the Estimate Request you are acknowledging that you understand the above Important Note and, if applicable, you may be subject to receiving an Estimate Addendum.

Name *

Moving Information