Metro Moves

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Name:
Email:
Daytime Phone:
Evening Phone:
Mobile Phone:
Fax:
Pickup Location
Address:
Building Type:	House Unit Storage Other
Stairs:	Yes No
Lift Acess Required:	Yes No
Total Number of Rooms:
Number of Bedrooms:
Fully Furnished:	Yes No
Do you have any items stored in garage/under house:	Yes No
Do you have any heavy items:	Yes No
Do you have any extra delicate or antique items:	Yes No
Any Special Items (piano, pooltable, etc):
Describe any difficult access to bulding:
Delivery Location
Address:
Building Type:	House Unit Storage Other
Stairs:	Yes No
Lift Acess Required:	Yes No
Describe any difficult access to bulding:
Other Information
Moving Date:
Extra Services Required:	Packing Un-packing Cleaning
Additional Comments:
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