Booking Form "*" indicates required fields 1Booking Information2Client Information3Payment Booking InformationDate of Appointment* MM slash DD slash YYYY Time of Appointment*7:00 AM7:30 AM8:00 AM8:30 AM9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM2:00 PM2:30 PM3:00 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM6:30 PM7:00 PM7:30 PM8:00 PM8:30 PM# of Workers Needed:*1 Worker2 Workers3 Workers4 Workers5 Workers6 Workers7 Workers8 Workers9 Workers10 Workers# of Hours Needed:*2 Hours or Less5 Hours or Less8 Hours or LessWhat type of work will the worker(s) be doing?* Moving Yard Work Basic Landscaping Painting Furniture Assembly General Labor (other) House Cleaning Handyman Services Detailed Job Description Client InformationPoint of ContactName* First Last Email* Phone*Job Address* Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code This field is hidden when viewing the formWhere did you hear about us?*GoogleCraigslistFriend or Family MemberStorage Facility WebsiteBingOtherThis field is hidden when viewing the formSpecify the Storage Facility*This field is hidden when viewing the formSpecify where you heard about us.* PaymentThis field is hidden when viewing the formDo you need any of the following: Pick Up Truck ($100) Trailer ($100) Box Truck ($200) 26 Feet Truck ($400) Total Worker Cost Price: $0.00 Down Payment Price: $0.00 Processing Fee Price: $0.00 Balance Due Price: $0.00 To be paid in cash (directly to the workers) at the end of the job or at the end of the time frame (whichever comes first).Total Worker Cost Price: $0.00 Down Payment Price: $0.00 Processing Fee Price: $0.00 Balance Due Price: $0.00 To be paid in cash (directly to the worker/s) at the end of the job or at the end of the time frame (whichever comes first).Total Worker Cost Price: $0.00 Down Payment Price: $0.00 Processing Fee Price: $0.00 Balance Due Price: $0.00 To be paid in cash (directly to the worker/s) at the end of the job or at the end of the time frame (whichever comes first).Amount Due Now Price: $0.00 The amount due now is the down payment. The remaining balance is to be paid at the end of the 2, 5 or 8 hours (depending on the time frame you scheduled), or at the end of the job (whichever comes first) directly to the worker(s) in cash. Please note: Down payment is non-refundable. Changes to date and time may be made up to 24 hours prior to your appointment at no charge. Changes made with less than 24 hours notice will require a new down payment.Amount Due Now Price: $0.00 The amount due now is the down payment. The remaining balance is to be paid at the end of the 2, 5 or 8 hours (depending on the time frame you scheduled), or at the end of the job (whichever comes first) directly to the worker(s) in cash. Please note: Down payment is non-refundable. Changes to date and time may be made up to 24 hours prior to your appointment at no charge. Changes made with less than 24 hours notice will require a new down payment.Amount Due Now Price: $0.00 The amount due now is the down payment. The remaining balance is to be paid at the end of the 2, 5 or 8 hours (depending on the time frame you scheduled), or at the end of the job (whichever comes first) directly to the worker(s) in cash. Please note: Down payment is non-refundable. Changes to date and time may be made up to 24 hours prior to your appointment at no charge. Changes made with less than 24 hours notice will require a new down payment.Total Downpayment Price: $0.00 Total Processing Fee Price: $0.00 Amount Due Now* Price: $0.00 Due after work Price: $0.00 Credit Card #*Feed Required: To use the Stripe field, please create a Stripe feed for this form. Consent* I confirm that I have reviewed and agreed to the Terms and Conditions and the Privacy Policy. I agree to receive Move And Home coupons and discounts. By checking this box, I agree to receive communications, including email, calls, and text messages from Move And Home regarding announcements and company updates. Reply to any messages with STOP at any time to stop receiving messages and to continue receiving help reply START to remove opt-out.
