If you have questions, or would like more information, please leave your name and contact information.
 
First Name: Last Name: Moving Date:
     
Home Phone: Work Phone: Alternate Phone:
     
Email Address: Best Time To Call:
     
Comments:
     
This Move Is:
Residential Home		 Commercial/Office Apartment
     
Current Address Information
 
Origin Street Address:
 
City: State: Zip Code:
 
Residence Type: If Other Dwelling, Explain:  
 
 
Can we park witin 100 feet of door?  Yes   No
Accessible Elevator?  Yes No
 
Destination Address Information
 
Destination Street Address:
 
City: State: Zip Code:
 
Residence Type: If Other, Explain:  
 
 
Can we park witin 100 feet of door?  Yes   No
Accessible Elevator?  Yes No
  Press Submit now to send move information only. An A1 Martinez Movers representitive will contact you to get inventory information.
 
Inventory Information -
Bedroom
King Bed:
 
Queen Bed:
 
Single Bed:
 
Full Bed:
Head Board:
Foot Board:
Post Bed:
Canopy Bed:
Bridge Bed:
Sleigh Bed:
Day Bed:
Trundle:
Bunk Bed:
Captain Bed:
Waterbed:
Armoire:
Chest of Drawers:
Small Dresser:
Large Dresser:
Mirror:
Night Stand:
Vanity:
Cedar Chest:
       
Living Room
       
Sofa:
Loveseat:
Hide-a-bed:
Futon:
       
Recliner:
Arm Chair:
Rocker/Glider:
Ottoman:
       
Table Lamp:
Floor Lamp:
Coffee Table:
End Table:
       
Sofa Table:
DVD/VCR:
Stereo Comp:
Stereo Cab:
       
Big Screen TV
(36" & Up): 		 
Console TV  
(21" - 35"): 		 
Portable TV  
(20" & Under): 		 
TV Stand:
       
Entertainment
Center:
Entertainment
Center Pieces:
Bookcase:
Baby Grand:
       
Grandfather Clock:
Sewing Machine:
Pictures:
Ficus Tree:
       
Plants:
Glasstop-Large:
Glasstop-Med:
Glasstop-Small:
       
Rugs:
     
       
Dining Room
       
Dining Table:
Dining Chairs:
 
Kitchen Table:
Kitchen Chairs:
       
China Cabinet:
Is China Cab.
1 or 2 pieces:
Buffet:
Curio Cabinet:
       
Baker's Rack:
Wine Rack:
Tea Cart:
TV Trays:
       
Kitchen
       
Refrigerator:
Freezer:
Microwave:
Microwave
Stand:
       
Washer:
Dryer:
Pantry:
Stove:
       
Vacuum:
Ironing Board:
   
       
Office
       
Large Desk:
Small Desk:
Writing Desk:
Drafting Table:
       
Secretary Desk:
Rolltop Desk:
Desk Chair:
Credenza:
       
File Cabinet
2 Drawer: 		 
File Cabinet
3 Drawer: 		 
File Cabinet
4 Drawer: 		 
File Cabinet
5 Drawer: 		 
       
Computer:
Printer:
Scanner:
Fax:
       
Desk Copier:
Floor Copier:
   
       
Excercise Equipment
   
 
Exercise Bike:
Treadmill:
Stair-Stepper:
Health Rider:
       
Weight Bench:
Pounds Of Weights:
Home Gym:
Bicycle:
       
Unusual / Large / Heavy Items
       
Example:
SAFES,
GUN LOCKERS
       
Miscellaneous
       
Lawnmower:
Edger:
Weed Eater:
Garden Tools:
       
Water Hose:
Wheel Barrow:
Ladder:
Work Bench:
       
Small Tool Box:
Large Tool Box:
Patio Table:
Patio Chairs: