Single Item Delivery Form 1 2 3 4 *Last Name*Phone*Email* Requested Move Date* Date Format: DD slash MM slash YYYY Is this date or time flexible?*No I must move on the requested date and timeFlexible on DateFlexible on TimeFlexible on both Date and TimeNotes about date/time? Pick-up Location* Street Address include unit # City Postal Code Main Intersection (example Yonge and Bloor)What type of space is this ?*ResidentialCommercialYour home is*ApartmentCondoLoft / StudioHouseBungalowAccess*Main Floor / NO STAIRSStairsIs there an elevator?Access*Main Floor / NO STAIRSStairsIs there an elevator?How Many Flights of Stairs?*1 Flight of Stairs2 Flight of Stairs3 Flight of Stairs4 Flight of Stairs5 Flight of StairsAccess*Main Floor / NO STAIRS1 Flight of Stairs2 Flights of Stairs3 Flights of StairsHow many flights of stairs?*1 flight of stairs2 flights of stairs3 flights of stairs4 flights of stairsLength of walk to truck? (in feet)20 walking distance to truck50 walking distance to truck50 walking distance to truck150 walking distance to truck200+ walking distance to truck Moving To* Street Address Include unit# City Postal Code Main Intersection (example Yonge and Bloor)What type of space is this ?ResidentialCommercialYour home is*ApartmentCondoLoft / StudioHouseBungalowAccess*Main Floor / NO STAIRSStairsIs there an elevator?Access*Main Floor / NO STAIRSStairsIs there an elevator?How Many Flights of Stairs?*1 Flight of Stairs2 Flight of Stairs3 Flight of Stairs4 Flight of Stairs5 Flight of StairsAccess*Main Floor / NO STAIRS1 Flight of Stairs2 Flights of Stairs3 Flights of StairsHow many flights of stairs?*1 flight of stairs2 flights of stairs3 flights of stairs4 flights of stairsLength of walk to truck? (in feet)20 walking distance to truck50 walking distance to truck50 walking distance to truck150 walking distance to truck200+ walking distance to truck Item Description*Do you require assistance with disassembly or assembly?NoYesMay BeExplainExplainHow did you hear about us?HomeStarsFriendOn-the-roadTwitterFacebookblogTOGoogleNow MagazineKijijiHouzzSnapdOtherPlease Specify Other TweetShareSharePin0 Shares