Chariot Test Form Schedule A Move Name * Email Address * Phone * Target Move Date * Preferred Start Time Morning 9-10am arrival window Afternoon 12-3pm arrival Other preferred start time Your Preferred start time 121234567891011 : 0030 AMPM Referral Source (How did you find out about us?) * Source Location (where would our moving crew arrive first?) * What Size Moving Truck or Container are you using for your Move? Scope of Moving Labor (check all that apply to your job) 'Loading Only' (moving out of area) 'Unloading Only' (moving into the area) Load & Unload (local area move) On-Site Move/Furniture Rearrange (moving within same complex or home, staging/rearrange) I Need Help Packing Boxes (dishware/chinaware, artwork, collectibles, Knick-knacks, etc) I Need Movers and a Truck (Furniture delivery, etc) Heavy/Specialty Item(s) 300+ LBS (describe further in field below) Additional Move Details List Additional Addresses in order of stops: Stop #2, Stop #3, etc ; List of the largest '2-Person Carry' Items and/or Items 300+ LBS to be moved ; Describe any Stairs/Elevators/Long Walking Distances Involved ; Other Specifics for your move? Flexibility of Move Date? ETC.. If you are human, leave this field blank. SUBMIT
