Tel : (855) ACMEVAN
(855) 226-3826
 
 
Living Room
Item CF Quantity
15
5
20
5
10
15
25
12
5
20
30
22
35
5
Item CF Quantity
5
2
3
2
10
70
80
60
2
2
10
3
10
Item CF Quantity
35
50
60
30
20
50
12
5
5
25
15
10
 
 
Dining Room
Dining Room
Item CF Quantity
10
30
20
25
Item CF Quantity
5
15
30
Item CF Quantity
10
10
3
 
 
Bedrooms
Item CF Quantity
Please select below  
65
70
40
20
70
5
Item CF Quantity
25
15
10
5
25
22
3
Item CF Quantity
50
5
10
3
20
20
40
 
 
Nursery
Item CF Quantity
5
30
3
5
Item CF Quantity
12
5
10
5
Item CF Quantity
10
10
3
 
 
Kitchen
Item CF Quantity
5
10
5
2
Item CF Quantity
30
5
15
3
Item CF Quantity
5
10
3
 
 
Appliances
Item CF Quantity
30
10
20
25
12
30
Item CF Quantity
Please select below  
30
45
60
5
25
Item CF Quantity
Please select below  
30
45
60
 
 
Porch, Outdoor Furniture & Equipment
Item CF Quantity
10
5
5
10
5
5
10
20
10
5
Item CF Quantity
15
35
5
10
20
5
30
20
5
10
Item CF Quantity
15
15
7
3
10
20
1
10
5
8
 
 
Miscellaneous
Item CF Quantity
7
5
10
5
1
20
20
1
5
10
30
Item CF Quantity
5
10
5
7
2
5
10
5
20
40
20
Item CF Quantity
15
15
7
3
10
20
1
10
5
8
8
 
 
Boxes
Boxes
Item CF Quantity
1.5
3
Item CF Quantity
6
15
Item CF Quantity
5
10
 

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(Minimum Shipment: 300 Cubic Feet; 2,000 LBS.)

Note: The information collected from this form is for internal use only. Your information will not be sold or distributed to anyone.

 
*First Name: *Last Name:
   
*Home Phone: Work Phone:
( ) - ( ) -
   
*E-mail: *Approximate Moving Date:
   
Moving From
*Address:
*State:
*City
*Zip Code
# of flights of stairs
Elevator Yes No
 
Moving To
Address:
*State:
*City
*Zip Code
# of flights of stairs
Elevator Yes No
 
 
 
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Acme Van Lines. All Rights Reserved.
USDOT 1830177 MC663778
400 Liberty Avenue Brooklyn NY 11207