Agreement for Moving Services - 2-Bedroom Apartment Moving Special CPUC License # CAL-T 190689 "*" indicates required fields Agreement for ServicesWEEKDAY ONLY - Local Two-Bedroom Apartment Moving Special: $550 Flat-RateYour Local Two-Bedroom Apartment Move Includes the Following: - 2 professional and uniformed movers - 26ft enclosed moving truck - Up to 3 labor hours billed from the time of dispatch 92064 until return* - Up to 15 minutes of drive-time between your pick-up and drop-off location* - Basic insurance of $.60/lb - Shrink-wrapping and blanket-wrapping of furniture - Use of commercial mattress bags - Use of 4 wardrobe boxes - Floor protection - Disassembly/Reassembly of basic furniture - Furniture placement within the residence If additional labor or drive-time is needed you will be charged at $120/hr in addition to the flat-rate of $550. Payment by credit card will incur a fee of 3% of the final bill. Offer available Monday-Friday only. Your move date and time is subject to availability. Upon receipt of this completed Agreement for Moving Services form, we will contact you to confirm the date and time for your move.Customer (Shipper) Information: Name* Email Address* Phone Number on the day of the move*We will call 30 mins. aheadMove Date* MM slash DD slash YYYY Time* Hours : Minutes AM PM AM/PM Pick Up Address* Street Address Street Address Line 2 City State ZIP Code Add Additional Pick Up Location Add Additional Pick Up Location * Street Address Street Address Line 2 City State ZIP Code Delivery Address* Street Address Street Address Line 2 City State ZIP Code Add Additional Delivery Location Add Additional Delivery Location * Street Address Street Address Line 2 City State ZIP Code Detailed list of items to be moved: Please include bed sizes, Tv sizes, furniture list and an approximate number of boxes*Packing Material Delivery Service: (optional) Please indicate the quantity of each item you would like and the desired delivery date. Materials delivered prior to your move date will be charged a $50 delivery fee. If you would like the materials brought on move day, please indicate your move date.Quantity Small Box - $3 each Sm Mirror Box - $5 each Medium Box - $4 each Med Mirror Box - $6 each Large Box - $5 each Lg Mirror Box - $8 each TV Box (32"-55") - $35 each Wardrobe Box - $15 each TV Box (55"-75") - $60 each Mattress Bag - $8 each Packing Paper -10lb ream - $20 each Tape - $6/roll Brown paper furniture pads - $3/sheet Packing Material Delivery Date MM slash DD slash YYYY Reliable Delivery requires a valid credit card number to hold your reservation. All reservations canceled or rescheduled after completing and submitting the Agreement for Moving Services will be charged a $250 fee to the provided card on file. If the appointment is canceled or rescheduled within 72 hours of the scheduled start time, the card on file will be billed the hourly minimum at the labor rate you were quoted to the card on file. No exceptions.Credit Card Number* Ex: 1234-1234-1234-1234Credit Card Type* Ex: Visa, Mastercard, AMEX, DiscoverExpiration Date* Ex: 03/27CVV* 3 or 4 Digit NumberThe customer acknowledges receipt of the Terms and Conditions as part of this Agreement. The customer agrees to the terms, including the flat-rate fee plus any additional labor or drive-time that is required. Billing begins at the time of dispatch from the carrier's facility until return. Move date and time is subject to availability. This Agreement serves as your moving quote as well as the contract for moving services. The customer agrees that if any information provided by them differs from the actual that additional labor or drive time may be necessary and will be charged for at the rate stated above including but not limited to: # of items being more than what was listed, packing of items and materials costs, unspecified stairs/elevators, unspecified overweight or over-sized items. Carrier does not disassemble nor reassemble appliances or exercise equipment and does not provide appliance hookups. We can provide a 3rd party point of contact for these items when requested in advance. Please sign below and click submit. You will receive a copy of your completed agreement via email and we will contact you shortly to confirm your move date and time. We look forward to working with you.Terms and Conditions* I agree to the Cancellation Policy & Terms and Conditions stated above. Signature*Date* MM slash DD slash YYYY Reliable Delivery LLC 13026 Stowe Drive, Suite DPoway, CA 92064CPUC License # CAL-T 190689 Office: (858) 272-2084 Fax: (858) 228-4362 [email protected] www.SDReliableDelivery.com CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
