1You2What You're Leaving3Where You're Headed First Let's Get a Little Info about YouName First Last Pronouns (optional)Mobile Number*Email* This move is local toNew YorkWashington, DCBaltimoreSomeplace elseThis is a long distance moveResidential or Commercial?ResidentialCommercialI need help withMovingPackingMoving and PackingLoad OnlyUnload OnlyStorage In BoundStorage Out BoundA Move Within the Same BuildingJunk RemovalWhat Kind of Packing Help do you Need?How many people are moving?*Preferred Move Date?* MM slash DD slash YYYY Live With Any Cat/Dogs?*Flexibility on Your Move Date?*YesNoMaybeHow'd You Hear about Us?Friend/ReferralQueer ExchangeQueer HousingGoogleYelpSilver FoxSolidarity MoversGhostlight HousingPark Slope TogetherRedditBroke ListInstagramTikTokSome Other GroupAnother Way EntirelyOooh, what group?Details, please!Oooh, who referred you!?What Kind of Flexibility?Any other info you think would be important for us to know about your situation (leaving a negative or abusive situation with a roommate/partner/landlord, etc)? Total Number of Pickup Locations?*OneTwoMore than TwoPrimary Pickup LocationI don't have an exact address yet This Location is a Storage Unit Primary Pickup Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Pickup is a Storage Unit? This Location is a Storage Unit What size is your storage unit?Storage Locker5x5 Storage Unit5x8 Storage Unit5x10 Storage Unit5x15 Storage Unit10x10 Storage Unit10x15 Storage Unit10x20 Storage Unit10x25 Storage Unit10x30 Storage UnitMultiple Storage UnitsHow full is your storage unit? if it were filled floor to ceiling)empty10%20%30%40%50%60%70%80%90%100%I am moving aRoom or LessStudio Apartment1 Bedroom Apartment2 Bedroom Apartment3 Bedroom Apartment4 Bedroom Apartment1 Bedroom House1 Bedroom House (Large)2 Bedroom House2 Bedroom House (Large)3 Bedroom House3 Bedroom House (Large)4 Bedroom House4 Bedroom House (Large)5 Bedroom House5 Bedroom House (Large)5x5 Storage Unit5x8 Storage Unit5x10 Storage Unit5x15 Storage Unit10x10 Storage Unit10x15 Storage Unit10x20 Storage UnitThis Building is aBrownstoneRowhomeSmall (3-5 units) Apartment BuildingMedium (6-8 units) Apartment BuildingLarge (15+) Apartment BuildingHigh RiseLoftHouseDuplexWarehouseOffice BuildingOtherI've lived here for*Less than 1 year1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10+ YearsN/AElevators?NahYeah! 🙂Room to Double Park?YesNoDoorperson?NoYesNumber of Flights?*01234567891011121314151617281920+Include your number of flights even if your building has elevators. Note: your number of flights may not be the same as the floor you're on. For instance, if you're on the 4th floor, you would have 3 flights (unless you have a stoop)COI Required?NoYesI'm not SureAny Timing Constraints at this Location?*YesNoNot Sure(Elevator reservations, strict moving times, storage unit closures, etc)?What Kind of Constraints? Please Describe Below.Any Assembly/Disassembly at this location?YesNoDescribe Assembly/Disassembly Details BelowAnything we should know about your pickup location? (tight turns, narrow staircases, very long hallways, truck has to be parked far from the door, very long entry stairways, elevator is always broken, etc)Secondary Pickup LocationSecondary Pickup Address* Street Address Address Line 2 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 Secondary Pickup is a Storage Unit This Location is a Storage Unit This is for a*Single ItemRoom or LessStudio1 Bedroom Apartment2 Bedroom Apartment3 Bedroom Apartment4 Bedroom Apartment2 Bedroom House3 Bedroom House4 Bedroom House5+ Bedroom HouseThis Building is aBrownstoneRowhomeSmall (3-5 units) Apartment BuildingMedium (6-8 units) Apartment BuildingLarge (15+) Apartment BuildingHigh RiseLoftHouseDuplexWarehouseOffice BuildingOtherI've lived here for*Less than 1 year1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10+ YearsN/AElevators?*NahYeah! 🙂Room to Double Park?*YesNoDoorperson?*NoYesNumber of Flights?01234567891011121314151617281920+Include your number of flights even if your building has elevatorsCOI Required?NoYesI'm not SureAny Timing Constraints at this Location?*YesNoNot Sure(Elevator reservations, strict moving times, storage unit closures, etc)?What Kind of Constraints? Please Describe Below.Any Assembly/Disassembly at this location?YesNoDescribe Assembly/Disassembly Details BelowAnything we should know about your second pickup location? (tight turns, narrow staircases, very long hallways, truck has to be parked far from the door, very long entry stairways, elevator is always broken, etc)More Than Two Pickups Locations?More than two pickups? Include the details for your situation below and we can make a plan over the phone. Drop-off LocationsTotal Number of Drop-off Locations?*OneTwoMore than TwoPrimary Drop-off Location* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Dropoff is a Storage Unit This Location is a Storage Unit? This Building is aBrownstoneRowhomeSmall (3-5 units) Apartment BuildingMedium (6-8 units) Apartment BuildingLarge (15+) Apartment BuildingHigh RiseLoftHouseDuplexWarehouseOffice BuildingOtherElevators?*NahYeah! 🙂Room to Double Park?YesNoDoorperson?NoYesNumber of Flights?*01234567891011121314151617281920+Include your number of flights even if your building has elevatorsCOI Required?NoYesI'm not SureAny Timing Constraints at this Location?*YesNoNot Sure(Elevator reservations, strict moving times, storage unit closures, etc)?What Kind of Constraints? Please Describe Below.Any Assembly/Disassembly at this location?YesNoDescribe Assembly/Disassembly Details BelowAnything we should know about your dropoff location? (tight turns, narrow staircases, very long hallways, truck has to be parked far from the door, very long entry stairways, elevator is always broken, etc)Secondary Dropoff LocationSecondary Drop-off Location* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Dropoff is a Storage Unit This Location is a Storage Unit? This Building is aBrownstoneRowhomeSmall (3-5 units) Apartment BuildingMedium (6-8 units) Apartment BuildingLarge (15+) Apartment BuildingHigh RiseLoftHouseDuplexWarehouseOffice BuildingOtherElevators?*NahYeah! 🙂Room to Double Park?YesNoDoorperson?NoYesNumber of Flights?*01234567891011121314151617281920+Include your number of flights even if your building has elevatorsCOI Required?NoYesI'm not SureAny Timing Constraints at this Location?*YesNoNot Sure(Elevator reservations, strict moving times, storage unit closures, etc)?What Kind of Constraints? Please Describe Below.Any Assembly/Disassembly at this location?YesNoDescribe Assembly/Disassembly Details BelowAnything we should know about your second dropoff location? (tight turns, narrow staircases, very long hallways, truck has to be parked far from the door, very long entry stairways, elevator is always broken, etc)More Than Two Dropoffs?More than two dropoffs? Include the details for your situation below and we can make a plan over the phone.UntitledFirst ChoiceSecond ChoiceThird Choice
