Intake form

Help us serve you better

Name *

Email address *

What type of move are you planning?

Please select at least one option.

Residential

Commercial

Long-Distance

Local

What is your moving date?

What is the size of your current home or office?

Do you need packing services?

What items will you need help with?

Please select at least one option.

Furniture

Appliances

Electronics

Specialty Items

Junk Removal

What is the pickup address?

What is the delivery address?

Do you have any special instructions or requests?

Additional questions or comments

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Plus Moving Express LLC