Estimate

Contact Information

Name(required)

Address

Unit/Apt

City, State, Zip

Email Adress

Daytime Phone

Evening Phone

Planned Moving Dates

Closing Date

Preferred Delivery Dates

General Information

How do you prefer to be contacted?

How did you hear about Hartman Relocation?(required)

Who referred you?

What City/Town are you moving from?

What State/Country are you moving from?

What City/Town are you moving to?

What State/Country are you moving to?

Old Residence

How many flights of stairs from ground floor to your current residence?

What type of stairs?

How long is the walk from your apartment to the elevator?

How long is the walk from the elevator to the door at the lobby?

How far from the building to the truck?

New Residence

How many flights of stairs from ground floor to your new residence?

What type of stairs?

How long is the walk from your apartment to the elevator?

How long is the walk from the elevator to the door at the lobby?

How far from the building to the truck?

Accessibility

Is truck parking accessible at the on-load?

Yes

No

Do you need parking permits?

Yes

No

Street Name?

What are possible obstacles?

Specific Information

How many rooms do you have?

In order to give our Move Coordinators the most detailed account of your move please fill out the following itemized list. Put the number of items you will be moving in the box next to the item. If there are any miscellaneous items not on the list please include them in the "other" field at the bottom of each room.

Please Explain

Living Room

TV, table model (10cf)

TV, console (15cf)

Bookcases (2cf)

Cabinet, curio (10cf)

Chair, straight (5cf)

Chair, arm (10cf)

Chair, rocker (12cf)

Chair, boudoir (10cf)

Chair, overstuffed (25cf)

Chest, armoire (30cf)

Sofa, loveseat (35cf)

Sofa, 3 cushion (50cf)

Stereo (10cf)

Tables, coffee (5cf)

Tables, end (5cf)

Rug, sm (3cf)

Rug, lg (10cf)

Entertainment Center, sm (10cf)

Entertainment Center, lg (40cf)

VCR/DVD (3cf)

Spinet Piano (60cf)

Upright/Baby Grand Piano (70cf)

Grand Piano (80cf)

Other:

Dining Room

Dining Table (30cf)

Chairs

Hutch (top-2cf)

Buffet (base-30cf)

Server (15cf)

Cabinet, corner (2cf)

Rug, lg (10cf)

Rug, sm (3cf)

Other:

Bedroom / Nursery

Bed, single (40cf)

Bed, std/dbl (60cf)

Bed, queen (65cf)

Bed, king (70cf)

Bed, youth (30cf)

Bed, bunk (set of 2-70cf)

Chest, armoire (30cf)

Dresser, single (30cf)

Dresser, double (40cf)

Dresser, triple (50cf)

Wardrobe, sm (20cf)

Wardrobe, lg (40cf)

Chair, boudoir (10cf)

Desk, sm/winthrop (22cf)

Rug, sm (3cf)

Rug, lg (10cf)

Table, child's (5cf)

Chest, toy (5cf)

Chest, baby (10cf)

Bookshelves (sectional-5cf)

Other:

Appliances / Kitchen

Air con/window (20cf)

Range (20cf)

Refrigerator, 6sq ft or less (30cf)

Refrigerator, 7sq ft or less (45cf)

Refrigerator, 11sq ft or less (60cf)

Freezer, 10sq ft or less (30cf)

Freezer, 10-15sq ft (45cf)

Freezer, 16sq ft or over (60cf)

Dishwasher (20cf)

Chairs (5cf)

Microwave oven

Breakfast Table (10cf)

Serving cart (15cf)

Ironing board (2cf)

Vacuum cleaner (5cf)

Washing machine (25cf)

Dryer

Other:

Outdoor / Patio / Porch / Misc

BBQ Grill (10cf)

Chair, aluminum/plastic (1cf)

Chair, metal (3cf)

Chair, wood (5cf)

Swing Set (35cf)

Bicycle (10cf)

Pool table (40cf)

Suitcases (10cf)

Desk, office (10cf)

Trash can (10cf)

Filing cabinet, 2dr (10cf)

Filing cabinet, 4dr (10cf)

Wagon, child's (10cf)

Golf bag (10cf)

Work Bench (20cf)

Power Tools (20cf)

Other:

Packing Boxes

Dish Barrel (5.2cf)

Book (1.5cf)

Med ctn (3.1 cf)

Large ctn (4.5 cf)

X-large ctn (6.1 cf)

Wardrobe ctn (10cf)

Picture/Mirror ctn (10cf)

Other:

Preparation

Will you be ready to go?

Yes

No

Do you require packing supplies?

Yes

No

Do you require packing services?

Additional Services

Will you be shipping a car?

Yes

No

Year

Make

Model

Will you be shipping SUV/Truck?

Yes

No

Year

Make

Model

Will any items require disassembly/assembly or any special handling?

Yes

No

Please explain

Valuation Coverage

What type of coverage would you prefer?

What deductible do you want?

Additional Information

Any additional information that will help us make your move as smooth and trouble free as possible:

Thank you for your time and providing us with information on your move. We will contact you within 48 hours.

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