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Provide as much information as you can.
Everything
SHOULD
make sense - just take a second to
READ
each question.
Contact Information
Primary Contact
First and Last Name
*
Phone Number
*
Email Address
*
Confirm Email Address
*
Secondary Contact
First and Last Name
Phone Number
Email Address
Confirm Email Address
Move Details
Preferred Date
*
🛈
+
1st Alternative Date?
🛈
+
2nd Alternative Date?
🛈
+
Arrival window
🛈
Morning
Afternoon
Whatever is available
How many movers?
2 Man Crew
3 Man Crew
4 Man Crew
5 Man Crew
6 Man Crew
What size truck do you think you will need?
ONE - 24ft Truck (MHM Truck)
TWO - 24ft Trucks (48ft) (MHM Trucks)
THREE - 24ft Trucks (72ft) (MHM Trucks)
------------------------------------------
Just need help LOADING my rental truck/POD (Customers Truck)
Just need help UNLOADING my rental truck/POD (Customers Truck)
Just re-arranging furniture inside my home
Inventory
Inventory Ideas
Bedroom sets
Desks
Armoires
Bookcases
China Cabinet
Dinning Table and Chairs
Bar Stools
TVs
Boxes
Couch & Loveseat
Washer and Dryer
Fridge and or Freezer
Patio Items
You can submit pictures if this is easier
Additional Services Needed
Do you need storage?
No
Yes
How long will you need storage?
1-3 Months
4-8 months
9-12 months
Other
Other
Will you need help packing?
No
Yes
Preferred Date
*
🛈
+
1st Alternative Date?
🛈
+
2nd Alternative Date?
🛈
+
Arrival window
🛈
Morning
Afternoon
Whatever is available
How many packers?
2 Man Crew
3 Man Crew
4 Man Crew
How long will you need?
2-3 hours
4-5 hours
6-7 hours
8+ hours
Packing Supplies?
Customer will provide
I want MHM to provide boxes/supplies
How much packing are we doing?
Entire Home
1/2 of the Home
Other?
Other?
Will you need junk haul off?
No
Yes
Preferred Date
*
🛈
+
1st Alternative Date?
🛈
+
2nd Alternative Date?
🛈
+
Arrival window
🛈
Morning
Afternoon
Whatever is available
Please provide details of what will need hauled off.
You can submit pictures if this is easier
PLEASE
do
NOT
use your browsers "auto fill" for address locations.
If you do
it will fill
ALL
locations below with the same
ONE
address.
Location Information
Stop #1
This location is a
*
Load Location
Unload Location
Street Address
Unit #
City
Zip Code
Name of Apartment or Business
Gate Code
Special directions to find this location?
1st Location Type
House
Apartment
Townhome
Storage
Other
Other
Stories
1 Story OR 1st floor
2 Story OR 2nd floor
3 Story OR 3rd floor
Other
Other
Location Size (sqft)
500-800
900-1200
1300-1600
1700-2000
2100-2400
2500-2800
2900-3200
3300-3600
Other
Other
Bedrooms
1 bedroom
2 bedroom
3 bedroom
4 bedroom
Other
Other
Elevator Onsite?
Yes
No
Storage Unit Size
N/A
5x10
10x10
10x15
10x20
10x25
10x30
Storage unit is a
N/A
Drive up exterior access (outside roll up door)
Climate controlled inside down a hallway
Stop #2
This location is a
*
N/A
Load Location
Unload Location
Street Address
Unit #
City
Zip Code
Name of Apartment of Business
Gate Code
Special directions to find this location?
2nd Location Type
House
Apartment
Townhome
Storage
Other
Other
Stories
1 Story OR 1st floor
2 Story OR 2nd floor
3 Story OR 3rd floor
Other
Other
Location Size (sqft)
500-800
900-1200
1300-1600
1700-2000
2100-2400
2500-2800
2900-3200
3300-3600
Other
Other
Bedrooms
1 bedroom
2 bedroom
3 bedroom
4 bedroom
Other
Other
Elevator Onsite?
Yes
No
Storage Unit Size
N/A
5x10
10x10
10x15
10x20
10x25
10x30
Storage unit is a
N/A
Drive up exterior access (outside roll up door)
Climate controlled inside down a hallway
Stop #3
This location is a
*
N/A
Load Location
Unload Location
Street Address
Unit #
City
Zip Code
Name of Apartment of Business
Gate Code
Special directions to find this location?
3rd Location Type
House
Apartment
Townhome
Storage
Other
Other
Stories
1 Story OR 1st floor
2 Story OR 2nd floor
3 Story OR 3rd floor
Other
Other
Location Size (sqft)
500-800
900-1200
1300-1600
1700-2000
2100-2400
2500-2800
2900-3200
3300-3600
Other
Other
Bedrooms
1 bedroom
2 bedroom
3 bedroom
4 bedroom
Other
Other
Elevator Onsite?
Yes
No
Storage Unit Size
N/A
5x10
10x10
10x15
10x20
10x25
10x30
Storage unit is a
N/A
Drive up exterior access (outside roll up door)
Climate controlled inside down a hallway
Referral Information
How did you hear about us?
*
Google
Postcard in the mail
Saw our Truck
Friend / Referral
I have used MHM before
Other
Other
Referral Full Name
*
Referral Phone Number
*
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