Telephone (home)***

Telephone (work)

Telephone (cell)

Email:***

How did you hear about Tender Touch?

What type of PROTECTION would you like for your move?***

Major Intersection

City

Province/State

Country

Postal/Zip Code

Load?

Type of Long Haul 

Items in the basement?

Pickup Type?

Length of walk to truck?***

Elevator or Stairs?***

Elevator Main Floor 1 Flight 2 Flight 3 Flight 4 Flight 5 Flight 6 Flight 7 Flight List the total flight of stairs the movers will have to climb at any one time from your home to the truck.  Example one flight to the 2nd floor and 1 flight to the basement, would count as one flight as the movers would never climb two at a time. With the same example adding another flight outside of the home would count as two.

Additional Pickup?

Tractor Trailer Access

Yes No  If yes, for how long?   1 month   2 months   3 months   4 months   5 months   6 months   7 months   8 months   9 months 10 months 11 months 12 months over 1 year

City

Province/State

Country

Postal/Zip Code

Delivery Type?

Length of walk to truck?***

  Elevator Main Floor 1 Flight 2 Flight 3 Flight 4 Flight 5 Flight 6 Flight 7 Flight List the total flight of stairs the movers will have to climb at any one time from your home to the truck.  Example one flight to the 2nd floor and 1 flight to the basement, would count as one flight as the movers would never climb two at a time. With the same example adding another flight outside of the home would count as two.

Weight?       100 200 300 400 500 600 700 800 900 1000 1100 1200 1300 1400 1500 1600 1700 1800 1900 2000 2100 2200 2300 2400 2500 2600 2700 2800 2900 3000 3100 3200 3200 3300 3400 3500 3600 3700 3800 3900 4000 4100 4200 4300 4400 4500 4600 4700 4800 4900 5000 5100 5200 5300 5400 5500 5600 5700 5800 5900 6000 6100 6200 6300 6400 6500 6600 6700 6800 6900 7000 7100 7200 7300 7400 7500 7600 7700 7800 7900 8000 8100 8200 8300 8400 8500 8600 8700 8800 8900 8900 9000 9100 9200 9300 9400 9500 9600 9700 9800 9900 10,000 10,100 10,200 10,300 10,400 10,500 10,600 10,700 10,800 10,900 11,000 11,100 11,200 11,300 11,400 11,500 11,600 11,700 11,800 11,900 12,000 12,100 12,200 12,300 12,400 12,500 12,600 12,700 12,800 12,900 13,000 13,100 13,200 13,300 13,400 13,500 13,600 13,700 13,800 13,900 14,000 14,100 14,200 14,300 14,400 14,500 14,600 14,700 14,800 14,900 15,000 15,100 15,200 15,300 15,400 15,500 15,600 15,700 15,800 15,900 16,000 16,100 16,200 16,300 16,400 16,500 16,600 16,700 16,800 16,900 17,000 17,100 17,200 17,300 17,400 17,500 17,600 17,700 17,800 17,900 18,000 18,100 18,200 18,300 18,400 18,500 18,600 18,700 18,800 18,900 19,000 19,100 19,200 19,300 19,400 19,500 19,600 19,700 19,800 19,900 20,000 Over 20,000 lbs one of our office staff will contact you lbs