REQUEST FOR QUOTE - JLopez Moving Co.

Tell us about your Move

Complete all Information and when ready press the SUBMIT button at the end of form. You will receive a copy of this information. We will review and get back to you as soon as possible.

Name *

First

Last

Email *

Phone *

Service Moving Date / Time *

Date

Time

How large is your House? Office? *

This will help us size the move and recommend and estimate moving time.

Moving Service

Additional Services you would want us to help you with?

Moving
Cleaning
Wrapping
Packing

From Address *

Address Line 1

Address Line 2

City

State

Zip Code

To Address *

Address Line 1

Address Line 2

City

State

Zip Code

Special Instructions for Service

Information about items in your house/room

Use this section to enter furniture items in your Living, Family and Dinning Rooms

Living Room

Couch:

Sectional:

Love seat:

End tables:

Coffee tables:

Lamps:

TV stand:

Ottoman:

Bookshelves:

Recliner:

Televisions:

Entryway Cubby:

Family Room

Enter furniture items for your Family room

Couches: (FR)

Sectional: (FR)

Love seat: (FR)

End tables: (FR)

Coffee tables: (FR)

Lamps: (FR)

TV stand: (FR)

Ottoman: (FR)

Bookshelves: (FR)

Recliner: (FR)

Televisions: (FR)

Dinning Room

Enter furniture items for your Dinning room

Dinning table:

Dinning chairs:

China cabinet:

Master Room

Enter furniture items for your Master Bedroom

Bed(MB):

Nightstands: (MB)

Dressers: (MB)

Chests: (MB)

Ottomans(MB):

Desk: (MB)

Recliner: (MB)

Televisions: (MB)

Bedrooms(additional)

PLEASE NOTE – WE DO NOT PACK OR MOVE GYM EQUIPMENT (gym, treadmill, Elliptical, Stationary bikes, etc) Use this section to enter ALL additional furniture for your additional bedrooms(excluding Master).

Additional Number of Bedrooms

Please enter total number of bedrooms in addition to your Master and total furniture items. PLEASE NOTE – WE DO NOT PACK OR MOVE GYM EQUIPMENT (gym, treadmill, Elliptical, Stationary bikes, etc)

Beds: (BR)

Nightstands: (BR)

Dressers: (BR)

Chests: (BR)

Ottomans:(BR)

Desk:(BR)

Recliner: (BR)

Televisions: (BR)

Bookshelves: (BR)

Garage

Use this section to tell us about items in your garage.

Freezer/refrigerator: (Garage)

Tool boxes: (Garage)

Shelves: (Garage)

Basement

Use this section to enter ALL additional furniture for your basement PLEASE NOTE – WE DO NOT PACK OR MOVE GYM EQUIPMENT (gym, treadmill, Elliptical, Stationary bikes, etc)

Couch: (Basement)

Sectional: (Basement)

Love seats: (Basement)

End tables: (Basement)

Coffee tables: (Basement)

Lamps: (Basement)

TV stand: (Basement)

Ottoman: (Basement)

Bookshelves: (Basement)

Recliner: (Basement)

Televisions: (Basement)

Backyard/Patio:

Use this section to enter ALL additional Patio furniture

Tables: (Patio)

Chairs: (Patio)

Grill: (Patio)

Additional Items: (Addtl *NO GYM EQUIPMENT)

Use this section to list any additional items that are part of your move. *PLEASE NOTE – WE DO NOT PACK OR MOVE GYM EQUIPMENT (gym, treadmill, Elliptical, Stationary bikes, etc)

# of Additional Items(Addtl)

Description of Item/Quantity: (Addtl-Do not Include any GYM Equipment))

Small Boxes (Qty)

Medium Boxes (Qty)

Large Boxes (Qty)

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