Name *

First Last

Email *

Phone Number

### - ### - ####

How would you prefer to be responded to?

Phone

Email

Expected Moving Date

MM/ DD/ YYYY

Moving From

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Size of Dwelling

Number of Bedrooms

For Office Moving Quotes please include square footage of office space as well as number of employees in the additional comments at the end of this form.

Are there stairs?

Yes

No

Moving To

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Size of Dwelling

Number of Bedrooms

For Office Moving Quotes please include square footage of office space as well as number of employees in the additional comments at the end of this form.

Are there stairs?

Yes

No

What Services do you require from Galaxy Moving?

Galaxy Vancouver Movers can move anything from a single piano to an entire office. We've done it all!! What do you need moved?

Would you like to use some of Galaxy's Premier Services?

Packing Services

Unpacking Services

Storage

Piano Moving Only

Items:

A description of the section goes here.

Livingroom

Dining Room

Bedroom

Appliances

Office

Storage/Garage/ Den/ Exercise Room

King size Bed

Enter Quantity

Queen size Bed

Enter Quantity

Double Bed

Enter Quantity

Single Bed

Enter Quantity

How did you hear about Galaxy Moving?

Additional Comments or Questions