Your Name
Email
Address
Area Code
& Phone Number
Company
Name
Do you
prefer us to phone or email you for your quote?
When is
the best time to call?
Estimated
move date
Is your
move date flexible? Rates may be less
expensive on alternate dates.
Is your move date flexible?
Yes
No
Is this a
home or business move?
Select Home or Business
Home
Business
Will you
need boxes & packing materials from our company?
These are available for purchase. Ask us about
special discounts when buying materials from us.
packing materials and boxes
Yes, I need packing materials and boxes
No, I will not be needing materials
Will you
need packing services our company or will you pack
yourself?
packing services
Yes, I need packing services
No, I will pack myself
DIELMAN MOVING & STORAGE (314) 428-MOVE
Briefly
describe the move, and the packing/unpacking
services you desire
# Rooms to
be moved, please explain
1st
Pick-up address (street address, City, State &
Zip Code)
1st
Pick-up Cross street or nearest intersection
2nd
Pick-up address, if applicable (street address,
City, State & Zip Code)
2nd
Pick-up Cross street or nearest intersection
1st
Drop-off address (street address, City, State &
Zip Code)
1st
Drop-off Cross street or nearest intersection
2nd
Drop-off address, if applicable (street address,
City, State & Zip Code)
2nd
Drop-off Cross street or nearest intersection
Enter your
mailing address so we can also mail you a quote
copy.
DIELMAN MOVING & STORAGE (314) 428-MOVE
Now just a few more
questions to help us prepare your quote!
Do you
have any specialty items to move? (piano, safe,
marble or large glass items) If yes, please
explain.
If yes,
are there any steps involved with moving the item(s)
from the old address to the new one? Please
explain.
Are you
moving from a house or apartment/condo/town home?
What floor are you moving from?
Are you
moving to a house or apartment/condo/town home? What
floor are you moving to?
Is there
an extra long walk or many steps to move from the
old address or unpack at the new address?
Please explain.
How did
you locate us?
Select Location Method
Google Search Engine
Yahoo Search Engine
Saw Truck
Word of Mouth
Print Ad
Other
Would you
like us to call you 10 days after move to pick up &
recycle your used boxes/containers?
Yes
No
Any other
relevant comments to help us prepare your quote?