Enviromental Form Enviromental Form "*" indicates required fields Move Date * Move Type * Residential Business Labor Only (no truck) Move Size * Studio 1 Bedroom 2 Bedrooms 3 Bedrooms 4 Bedrooms 5+ Bedrooms Who We're Moving... Name* First Last Phone* Email * Confirm Email * Do you have flexibility with your move date? * Yes No How Did You Hear About Us? * Apt Manager CBS The Local Real Estate Group Door Hanger/Flier Friend Google Kevin Hart KLOS LA Weekly Realtor Repeat Customer Saw Our Truck Social Media Storage Etc... Storage Facility The Rental Girl Yelp Other Are you interested in packing services? * Yes No Where We're Moving... Pickup Info Pickup Address * Street Address City Zipcode Type Of Residence * House Apartment Condo Loft Town House Storage Unit Office Warehouse High Rise Building Total Sqft * Are there stairs? * Yes No Is There An Elevator? * Yes No Number of steps from our truck to YOUR door * Not Sure Close (0-25 steps) Short Walk (25-75 steps) Long Walk (75+ steps) Additional Notes Add Additional Pickup Pickup Address * Street Address City Zipcode Type Of Residence * House Apartment Condo Loft Town House Storage Unit Office Warehouse High Rise Building Total Sqft * Are there stairs? * Yes No Is There An Elevator? * Yes No Number of steps from our truck to YOUR door * Not Sure Close (0-25 steps) Short Walk (25-75 steps) Long Walk (75+ steps) Additional Notes Dropoff Info Drop-Off Address * Street Address City Zipcode Type Of Residence * House Apartment Condo Loft Town House Storage Unit Office Warehouse High Rise Building Total Sqft * Are there stairs? * Yes No Is There An Elevator? * Yes No Number of steps from our truck to YOUR door * Not Sure Close (0-25 steps) Short Walk (25-75 steps) Long Walk (75+ steps) Additional Notes Add Additional Drop-Off Drop-Off Address * Street Address City Zipcode Type Of Residence * House Apartment Condo Loft Town House Storage Unit Office Warehouse High Rise Building Total Sqft * Are there stairs? * Yes No Is There An Elevator? * Yes No Number of steps from our truck to YOUR door * Not Sure Close (0-25 steps) Short Walk (25-75 steps) Long Walk (75+ steps) Additional Notes What We're Moving... How long have you lived in your space? * How furnished is your space? * (The more accurate you are the more accurate the estimate) LIGHTLY FURNISHED- Approx 1-3 furniture pieces in each room. Few misc/odds & ends. Lots of open wall space. MODERATELY FURNISHED- Approx 4-6 furniture pieces in each room. Some misc/odds & ends. Some open wall space. DENSELY FURNISHED- More than 6 furniture pieces in each room. Many misc/odds & ends. Little to no open wall space. Appliances/Major items * (We do not handle Pianos or Pool Tables. Call for a referral) Washer Sml/Med TV (Up to 70") Dryer Large TV (70" and up) Stacked Washer Dryer Full bed/mattress Refrigerator (full size) Queen bed/mattress Freezer (full size) King bed/mattress Dishwasher Baby crib Stove Sleeper sofa Treadmill/exercise machine Safe Arcade game console Gym equipt/weights Large armoire/cabinet Large sculpture Outdoor patio furniture Drum set Grill Guitar cab Bikes Large power/garage tools Large yard tools (mower, wheelbarrow etc) Tool box on wheels Large outdoor toys (swingset, trampoline etc) Small Boxes * None 1-10 11-25 26-50 51-75 76-100 100+ Medium Boxes * None 1-10 11-25 26-50 51-75 76-100 100+ Large Boxes * None 1-10 11-25 26-50 51-75 76-100 100+ Items not mentioned above (additional items/details we should know about) Submit
