PERSONAL & COMPANY INFORMATION

Full Name

Position with the company

Company Name

Office Phone

Cell Phone

Email

Contact Preference (day, night, business, cell, etc)

DESTINATIONS & LOGISTICS

Move From (full address preferable)

Move To (full address preferable)

Any stops along the way? If so, please provide the address(es).

Are there any steps or elevators at any of the locations? If so, please describe.

ITEMS

Please provide us with a list of items to be moved. Please be as detailed as possible with regards to heavier/larger items.

Do any items require more then 2 men to move?

Do you need to move a server room?

ADDITIONAL SERVICES

Does anything need to be packaged? If so, what?

Does anything need to be stored with LA Movers?

Does your building leasing office requires certificates of insurance?