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

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!