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Great White Moving- Dallas / Fort Worth Tx Moving Services  
Metro (817) 858-6500 • (214) 350-MOVE (6683)   
greatwhitemoving@verizon.net  

 		 

Please complete the following form and click Submit. We will contact you as soon as possible regarding your quote. If you would like to receive your quote as quick as possible then please call 214-350-MOVE (6683) and inform the representative that you have sent us an email quote.

Move Date:
 How did you hear about Great White Moving?
Verizon Directory    SBC Yellow pages    Superpages.com (Verizon)    Smartpages.com (SBC)   
Google Search    Satisfied customer referral    Realtor/Leasing agent    Yahoo search   
Preferred method for us to contact you.
E-mail    Telephone   
First Name *
Last Name
E-mail Address *
Home Phone *
Work Phone
Fax:
Origination Address, City, State
Destination Address, City, State
Origination Zip Code
Destination Zip Code
Living Room Office
Sofa
 Office or Roll-Top Desk
Loveseat
 Desk Extension
Hide-a-Bed
 Desk Chair
Chaise Lounger
 Credenza
Futon
 Two Drawer Filing Cabinet
Piano (downstairs)
 Four Drawer Filing Cabinet
Organ
 Fire Proof Filing Cabinet
Entertainment Center
 Conference Table
Bookcases
 Drafting Table
Recliners, Arm-Chairs, Rockers
 Copier
Ottomans or Footstool
 Computer Desk
Coffee or End-Table
 Hutch
27" to 36" TV
 Computer Components (# of pcs)
8" to 26" TV

 Treadmill/Elyptical
TV Stand
 Storage cabinet
Stereo Components,
Speakers, VCRs
Lamps or Pictures
Large Screen TV
 Baby Grand Piano
Bedroom MISCELLANEOUS
Headboard or Footboard
 Bridge Bed / Wall unit (# pcs)
King or Queen Size Bed*
 Boxes Less than 50 lbs.
Full Size Bed
 Boxes More than 50 lbs.
Twin Size Bed
 Glass Tops
Bunk Bed
 Glass Shelves
Water Bed
 Marble Tops
Day Bed/Trundle Bed
 Area Rugs
Dresser
Large Plants
Mirror (detached)*
Small Plants
Chest of Drawers
 Sewing Machines
Armoire or Wardrobe (empty)
 Bar-B-Que or Bicycle
Nightstand
Patio Table
Cedar Chest or Trunk
Ironing Board or Vacuum
Crib and/or Changing Table*
 Patio Chairs
Linear Feet of Clothes (on rod)
Lawn Mower
Small Desk
Metal Shelf
Do you need us to dissassemble/reassemble beds or crib?
Yes    No   
Curio Cabinet
Do you need us to remove mirror from dresser?
Yes    No   
Etagere'
 
 Hall Tree
Dining Room KITCHEN
Dining or Kitchen Table
Stove or Oven
Dining Chairs or Bar Stools
 Refridgerator or Freezer*
China Cabinet (1 or 2 pieces)
 Washer or Dryer
Buffet or Server
 Microwave
Microwave Stand
 Do you need us to disassemble or hook-up appliances?
Yes    No   
Please mention anything not listed above:
Would you consider the majority of your furniture to be :
Small    Average    Larger/Heavy   
Elevator at either location?
How many flights of stairs at "origin"?
How many flights of stairs at "destination"?
Walk in excess of 100' at either location? List each over 100'
"Sloped path" at either location? Please describe.
 Approximate number of miles from one point to next

* Required to submit this form





Great White Moving
"Let Us Take a Bite Out Of Your Moving Expenses"
Metro # (817)858-6500 or (214)350-MOVE (6683)

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