Moving and Storage Application

Moving and Storage Application: Please complete the following form and click Submit. We will contact you as soon as possible regarding your request. Payment methods accepted include cash, cashier's check and money order.

Customer Name

Home Phone		Work Phone		Date of Move

Time Preferred		How many rooms of furniture?

Washer and Dryer?

Yes

Big Screen TV?

Yes

Storage Needed?

Yes

Piano?

Yes

If you have a piano to move, what style?

Self Packed?

Yes

Pick-up Address, Including City and Zip Code		Delivery Address, Including City and Zip Code

Directions to Pick-up Address

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Father and Son Moving and Storage
(407) 650-0123