Hartman Relocation Moving Services

Please fill out the form below to receive a FREE estimate for your move!
If you are having trouble with this form, please contact us directly.

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CONTACT INFORMATION
First Name	Last Name
Street Address	Apt/Unit#
City	State	Zip
Day Phone	Eve Phone	Fax
E-mail

GENERAL INFORMATION
How do you prefer to be contacted?
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?
What date are you looking to move?
Old Residence
How many flights of stairs from ground floor to your current residence?
What type of stairs?
If there is an elevator, how long is the walk from your apt. to the elevator?	feet
From the elevator to the door at the lobby?	feet
From the building to the truck?	feet
New Residence
How many flights of stairs from ground floor to your new residence?
What type of stairs?
If there is an elevator, how long is the walk from your apt. to the elevator?	feet
From the elevator to the door at the lobby?	feet
From the building to the truck?	feet
Accessibility
Is truck parking accessible at the on-load?
What are possible obstacles?
Street Name?
Do you need parking permits?

SPECIFIC INFORMATION
A room to room list of all items being moved: 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.
How many rooms do you have?
LIVING ROOM
TV, table model (10cf)		Bookcase (2 cf)
Cabinet, curio (10cf)		Chair, straight (5cf)
Chair, arm (10cf)		Chair, rocker (12cf)
Chair, boudoir (10cf)		Chair, overstuffed (25cf)
Chest, armoire (30cf)		Sofa, loveseat (35cf)
Stereo (10cf)		Sofa, 3 cushion (50cf)
TV, table model (10cf)		Tables, coffee (5cf)
TV, console (15cf)		Tables, end (5cf)
Rug, sm (3cf)		Entertainment Center, sm (10cf)
Rug, lg (10cf)		Entertainment Center, lg(40cf)
Spinet Piano (60cf)		VCR (3cf)
Upright/Baby Grand Piano (70cf)		Other
Grand Piano (80cf)
DINING ROOM
Dining Table (30cf)		Hutch (top) (2cf)
Chair (5cf)		Buffet (base) (30cf)
Server (15cf)		Cabinet, corner (2cf)
Rug, sm (3cf)		Other
Rug, lg (10cf)
BEDROOM / NURSERY
Bed, single (40 cubic feet)		Chest, armoire (30cf)
Bed, std/dbl (60cf)		Dresser, single (30cf)
Bed, queen (65cf)		Dresser, double (40cf)
Bed, king (70cf)		Dresser, triple (50cf)
Bed, youth (30cf)		Wardrobe, sm (20cf)
Bed, bunk (set of 2) (70cf)		Wardrobe, lg (40cf)
Chair, boudoir (10cf)		Desk, sm/winthrop (22cf)
Rug, sm (3cf)		Table, child’s (5cf)
Rug, lg (10cf)		Chest, toy (5cf)
Night table (10cf)		Crib, baby (10cf)
Bookshelves (sectional) (5cf)		Other
APPLIANCES / KITCHEN
Aircond./window (20cf)		Chair (5cf)
Range (20cf)		Microwave oven (10cf)
Refrigerator (6sq ft or less)(30cf)		Breakfast Table (10cf)
Refrigerator (7sq ft or less)(45cf)		Serving cart (15cf)
Refrigerator(11sq ft +)(60cf)		Ironing Board (2cf)
Freezer (10sq ft or less)(30cf)		Vacuum Cleaner (5cf)
Freezer (10-15)(45cf)		Washing Machine (25cf)
Freezer (16cu ft or over)(60cf)		Dryer (25 cf)
Dishwasher (20 cf)		Other
OUTDOOR / PATIO / PORCH / MISC
BBQ Grill (10cf)		Desk, office (10cf)
Chair, aluminum/plastic (1cf)		Trash can (10cf)
Chair, metal (3cf)		Filing cabinet, 2dr (10cf)
Chair, wood (5cf)		Filing cabinet, 4dr (10cf)
Swing Set (35cf)		Wagon, child’s (10cf)
Bicycle (10cf)		Golf bag (10cf)
Pool Table (40cf)		Work Bench (20cf)
Suitcase (10cf)		Power Tool (20cf)
Other
PACKING BOXES
Dish Barrel (5.2cf)		X-large ctn (6.1cf)
Book (1.5cf)		Wardrobe ctn (10cf)
Med ctn (3.1cf)		Picture/Mirror ctn (10cf)
Large ctn (4.5cf)		Other

PREPARATION
Will you be packed & ready to go?
Required packing service:
Do you require packing supplies ?
ADDITIONAL SERVICES
Will you be shipping a vehicle?	Year	Make	Model
Will you be shipping an SUV/truck?	Year	Make	Model
Will any items require disassembly/assembly or any special handling ?
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.