Full Name

Email Address

Contact Phone Number

May we contact you by phone? (otherwise we will send information via email)

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If yes, please specify preferred time (day/night/weekend)

Item Description

Quantity

Vacuum

Ironing Board

Std. Size Appliances

Stove or Oven

Refridgerator or Freezer

Washer/Dryer

Microwave

Kitchen Table

Console TV

Portable TV

TV 25-27"

TV 32"

TV 36-42"

TV LCD/Plasma Flatscreen

TV Projector

Sectional Sofa

Love Seat

2-Cushion Sofa

3-Cushion Sofa

Hide-a-Bed or Futon

Bunk Bed

Twin Bed

Full size Bed

Large Headboard

King/Queen Bed (or waterbed)

Nightstands

Dressers w/o Mirrors

Mirrors

Armoire or Wardrobe

Clothes per foot on rod

Lg. Entertainment Center

Floor Lamps

End Tables

Coffee Tables

Recliners, Rockers, or Armchairs

Ottoman

Computer desk or rollup

Computer w/ components

Desk chairs

Printer w/ stand

Commercial Copier

Secretary Desk

2-Drawer File Cabinet

3-Drawer File Cabinet

4-Drawer File Cabinet

5-Drawer File Cabinet

Credenza

Ottoman

Grandfather Clock

Cedar Chest or Footlocker

Chest of Drawers

Hutch

Bookcases (units or sections)

Glass/Marble Table Tops

Glass Shelves

Packed Boxes (>50 lbs.)

Lg. Boxes Needed

Packed Boxes (< 50 lbs.)

Std. Boxes Needed

Large Plants

Sewing Machines

China Cabinet, 1 or 2 sections

Dining Table

Dining Chairs or Bartstools

Baby Changing Table

Highchair

Toy Chest

Crib

Youth Bed

Stroller

Swing Set

Excercise Equipment

Patio Table (wood or plastic)

Patio Chairs (same)

Lawn Mower

Weed Eater

Riding Lawn Mower

Miscellaneous

Please specify number of flights/floors (including "From" and "To" locations)

Move to be within Travis County?

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If no, please specify county of origin/destination.

Moving From

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Moving To

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How Did You Hear About Us?

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Please Specify Referral Name if Applicable

Hill Country Moving will provide you with an estimate within 24 hrs (Mon thru Sun). You may also contact us via email at quotes@hillcountrymoving.com. Thank you for submitting your item list and allowing us the opportunity to earn your business!

as much as

10% OFF ON ALL REFERRALS!