To request a written quote for your upcoming move, please fill out the form below.  The information you provide will be received by Simmons Moving & Storage.  We will contact you to provide more information or schedule a free in-home survey of your belongings. There is absolutely no obligation  to complete this step of the move process.

 

First Name:

Last Name:

Phone: (###-###-####):

FAX:      (###-###-####):

E-mail Address:

Preferred method of contact:

 E-mail     Phone

Best time to contact you:

 A.M.        P.M.

 

  

Moving From:

  

    Address:

    City:

    State:

    Zip Code:

 

  

Moving To:

  

    Address:

    City:

    State:

    Zip Code:

 

  

Approximate Move Date:

Type of Move:

 Company-paid     Self-paid

If Company-paid, Company Name:

 

  

Will you need temporary storage?

 Yes     No

Will you need packing services

 Yes     No

    If yes:

 Full pack    Partial pack

Will you need to move automobiles, trucks, boats, or trailers?

 Yes     No       How many? 

 

Please enter any comments, additional information, or comments below: