Online Estimate Form

Please fill out the following form with as much information as you can provide and a member of our office staff will contact you about your move. If your browser does not support forms, simply email us your information using this form as a guide. Thank you!

General Information              

Ms.   Mrs.   Mr.   Dr.
Name: 
Email Address: 
Home Phone: 
Work Phone: 
Fax: 


Type of Move:

Local   Office   Commercial  

Within State    Interstate    

International    


Current Address:  

Address: 
County: 
City: 
State:        ZIP: 



Moving To:  

Address: 
County: 
City: 
State:        ZIP: 



Other Information:  

When do you plan on moving?                
Will you need to store items?  Yes No 
       If yes, how long?

Are you moving a vehicle? Yes No
       If yes, what type?

Type of current residence: 
       If Apartment, what floor?

Type of future residence:
       If Apartment, what floor?
Have you moved with us before? Yes No 


Packing Information:

Will you want us to do some packing? Yes No 
If yes, please describe briefly:


Household Information:

Number of Adults:
Number of Children:


Room Information:

Number of Bedrooms:
Number of Bathrooms:

Other Rooms:
      (Check all that apply)

Living Room   Family Room  
Dining Room   Kitchen  
Home Office   Den    
Bonus Room   Storage Room
Basement   Attic    
Garage       Shed  

List Additional Rooms:

Major Appliances Moving: 

Electric Dryer     Gas Dryer
Clothes Washer
Refrigerator         Freezer  
Dishwasher  

Bulky Items: 

Riding Mower   Motorcycle
Big Screen TV   Hot Tub
Grandfather Clock
Upright Piano   Spinet Piano
Baby Grand Piano
Grand Piano

Detailed Inventory

For each of the items listed below, please indicate how many you have in your home. Room names are included for ease of organization - the items listed need not be in those specific rooms.


Living Room / Family Room
Item# pcs Item# pcs Item# pcs
Bar, Portable Bookcase Curio Cabinet
Television Cabinet Wooden Chair Arm Chair
Rocking Chair Overstuffed Chair Cedar Chest
Small Coffee Table Large Coffee Table Small Desk
Large Desk Fireplace Tools Footstool
Floor Lamp Hall Tree Magazine Rack
Music Cabinet Small Table Large Table
Recliner Small Rug Large Rug
Sofa, 2 Cushion Sofa, 3 Cushion Sofa, Hideabed
Small Stereo Large Stereo Small Television
Large Television Bigscreen TV Television Stand
Additional Small Items Additional Large Items Boxes
Dining Room
Item# pcs Item# pcs Item# pcs
Bench Buffet (Base) Hutch (Top)
Corner Cabinet Dining Table Dining Chair
Server Tea Cart Rug
Additional Small Items Additional Large Items Boxes
Kitchen
Item# pcs Item# pcs Item# pcs
Breakfast Table Chairs Highchair
Microwave Oven Serving Cart Stool
Small Table Utility Cabinet Boxes
Additional Small Items Additional Large Items
Bedrooms
Item# pcs Item# pcs Item# pcs
Single Bed Double Bed Queen Bed
King Bed Bunk Beds Water Bed
Bookshelf Budoir Chair Rocking Chair
Chaise Lounge Bachelor Chest Cedar Chest
Armoire Chest Small Desk Single Dresser
Double Dresser Triple Dresser Vanity
Dresser Mirror Floor Lamp Night Table
Personal Computer Small Television Large Television
Rug Small Wardrobe Large Wardrobe
Additional Small Items Additional Large Items Boxes
Estimated Linear Feet of Closet Space
Nursery
Item# pcs Item# pcs Item# pcs
Bassinette Youth Bed Child's Chair
Child's Table Highchair Crib
Toy Chest Playpen Rug
Additional Small Items Additional Large Items Boxes
Home Office
Small Desk Large Desk Desk Chair
Filing Cabinet, 2 Dr Filing Cabinet, 3 Dr Filing Cabinet, 4 Dr
Personal Computer Office Equipment Bookshelves
Additional Small Items Additional Large Items Boxes
Porch & Outdoor Items
Item# pcs Item# pcs Item# pcs
Small BBQ Grill Large BBQ Grill Aluminum Chairs
Metal Chairs Wood Chairs Garden Hose
Glider or Settee Ladder-6' or Less Ladder-8'
Ladder-Extension Lawn Edger Leaf Blower
Push Mower Riding Mower Outdoor Child's Slide
Swing Set Picnic Table Picnic Bench
Sand Box Spreader Small Table
Large Table Umbrella Wheelbarrow
Additional Small Items Additional Large Items Boxes
Miscellaneous - Storage, Garage, Basement
Item# pcs Item# pcs Item# pcs
Baby Carriage Basket (Clothes) Bicycle
Tricycle Bowling Ball/Bag Card Table
Folding Chair Clothes Hamper Folding Cot
Fan Footlockers Game Table
Golf Bag Space Heater Metal Shelves
Ping Pong Table Pool Table Sewing Machine
Sewing Mach. Cabinet Plant Stand Sled
Suitcase Utility Table Tackle Box
Tire Small Toolchest Medium Toolchest
Large Toolchest Trash Can Child's Wagon
Work Bench Additional Small Items Additional Large Items
Boxes


Any additional comments or concerns?

 

Once you are sure your information is complete, please click on the "Submit to Bates" button to send us your information. If you experience any trouble with this process, please notify us by email .

Thank you!