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Move Estimate
1
Contact Info
First Name
*
Last Name
*
Phone Number
*
Email Address
*
2
Enter the From and To Location
Moving From (Zip Code)
*
Moving To (Zip Code)
*
3
Additional Stops
Pick-Up
Delivery
Provide Information on Additional Stops (if any)
Provide Information on Additional Stops (if any)
4
Additional Details
How Did You Hear About Us?
*
Select Option
Better Living for Seniors Polk
Care Manager
CarePlus
Facebook
Friend or Family Referral
Google Search
GrayRobinson, P.A.
Instagram
Lakeland Chamber of Commerce
NAPO
NASMM
Other
Personal Referral
Polk ElderCare Guide
Realtor
Repeat Client
Senior Connection Center
Senior Living Community
Winter Haven Chamber of Commerce
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First Name
*
Last Name
*
Phone Number
*
Email Address
*
Moving From (Zip Code)
*
Moving To (Zip Code)
*
Prefered Move Date
*
Square Footage?
Size of Move and Packing Details
Select
Studio
1 Bedroom
2 Bedrooms
3 Bedrooms
4 Bedrooms
5 Bedrooms
Submit
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- Service Information
Move Estimate
1
Moving Details
Preferred Move Date
*
Start Time
Select Option
07:00 AM - 07:00 AM
07:00 AM - 07:30 AM
07:30 AM - 07:30 AM
07:30 AM - 08:00 AM
08:00 AM - 08:00 AM
08:00 AM - 08:30 AM
08:15 AM - 08:15 AM
08:30 AM - 08:30 AM
08:30 AM - 09:00 AM
09:00 AM - 09:00 AM
09:00 AM - 09:30 AM
09:30 AM - 09:30 AM
09:30 AM - 10:00 AM
10:00 AM - 10:00 AM
10:00 AM - 10:30 AM
10:30 AM - 10:30 AM
10:30 AM - 11:00 AM
11:00 AM - 11:00 AM
11:00 AM - 11:30 AM
11:30 AM - 12:00 PM
12:00 PM - 12:00 PM
12:00 PM - 12:30 PM
12:30 PM - 01:00 PM
01:00 PM - 01:30 PM
01:30 PM - 02:00 PM
02:00 PM - 02:30 PM
03:00 PM - 03:30 PM
Alternate Move Date
2
Type of Moving Service
*
Residential Move
Commercial Move
Labor Only
Storage
Delivery
3
Size of Move and Packing Details
Size of Move
*
Type of Move
*
Residential - Full Move
Residential - Partial Move
Type of Move
*
Relocating Professional Office
Relocating Retail Business
Relocating Warehouse
Type of Move
*
Full Move (Customer Providing Truck)
Load Truck
Load Pod
Unload Truck
Unload Pod
Move Within Building
Move Within Home
Type of Move
*
Full Move - Self Storage
Full Move - Container Storage (Pods or PackRat)
Partial Move - Self Storage
Partial Move - Container Storage (Pods or PackRat)
Duration of Storage
Packing Services
*
No Packing
Packing
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