Gulliver's Movers Inc.
M o v i n g    R e q u e s t   F o r m

Do not fill out this form if you have more than a one bedroom house or apartment with a reasonable amount of furniture--instead, please call us to setup an appointment for an onsite estimate. Call (301) 209-0513 for MD, (703) 838-7645 for VA, or (202) 483-9579 for DC.

Text that is highlighted in red is required information.  When completed, click the submit button below to receive an email or phone estimate within 2 hours, or call the above numbers for instant quote..

Tentative Moving Date:    Month     Day     Year
Tentative Packing Date:    Month     Day     Year
First Name:      Last Name:           E-mail: 
Phone #:  Home   Work    Cell    Fax 

FROM:  Apt:

City: State:  Zip:
House  Apt. Condo   BedRooms
Storage-Unit(s)  Flights  Elev

Front Stairs Service Ent. Long Carry

TO:  Apt:

City:  State:  Zip:
House  Apt.  Condo  BedRooms
Storage-Unit(s)  Flights  Elev

Front Stairs Service Ent. Long Carry

Extra Pickup:   Extra Drop:

LIVING ROOM
 Sofa Beds
 Couches
 Love Seats
 Over-stuffed Chairs
 End Tables
 Coffee Tables
 Entertainment Center
 TVs
 Stereos
 Other:

BEDROOM(S)
 Bed, King
 Bed, Queen
 Bed, Std/Dbl
 Baby Crib
 Futon-Bed
 Night Tables
 Dressers
 Chest of Draws
 Trunk
 Vanities
 Amoires
 Mirrors
 Other:

KITCHEN
 Refrigerators
 Microwaves
 Tables
 Chairs
 Cabinets
 Other:

DEN/OFFICE
 Desks
 Office Chairs
 Secretaries
 Computers
 Bookcases
 File Cabinets
 Others

BOXES TO MOVE
Lg Boxes
Sm  Boxes

MISCELLANEOUS
Prints/Paintings (lg)
 Sculptures
 Throw-rugs
 Lamps (floor)
 Other:

DINING ROOM
 Tables (Wood/Glass)
 Chairs
 China Cabinets
 Sideboards
 Marble/Glass Tops
 Other:

BASEMENT/GARAGE
 Washers
 Dryers
 Freezers
 Bikes
 Exercise Equipment
 Storage Boxes
 Other:

PATIO/MISC
 BBQ Grills
 Lawn Chairs
 Patio Tables
 Benches
 Air Conditioner
 Other:
Piano: Type

How did you hear about us?:    Referred by:
Referral's Name:   First Name:   Last Name:
Company or Org. Name: