In order to reduce unwanted email  you must answer the following question otherwise it will not send.
What color is a blue sky (type blue) ? <----(type the word blue in the box)
Customer Contact Information
First Name		Work Phone
Last Name		Home Phone
Street Address		E-mail
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Customer Move Information
My Projected moving date is -		Today's date is -
I understand the estimated cost for this move is ..
and is a good faith estimate that can change? ( Your Final bill is always based on the time and circumstances of your move.)
Accord Contract and Details Review
Have you reviewed the Sample Accord Moving Contract on our website at http://www.accordmovingquote.com ? (If you had any questions did you contact Aaron? )			Yes No
Did you review the Accord Moving "Tips for a Stress Free Move" or any Brochures offered on our  website at http://www.accordmovingquote.com ?			Yes No
You understand that the Final Cost of your move is based upon the exact time spent on your move along with any additional charges for supplies or other services ?			Yes No
You understand that we always charge a 3 hour minimum charge unless otherwise agreed to ? (Such as with a FLAT RATE Quote)			Yes No
You understand that the Travel Charge is based upon our travel from the Origin to Destination and back to our office ? (Typically this is one half hour for local moves and One and One half hour (1 1/2) ur or more for other moves)			Yes No
Special Tools or Instructions
Are any Special Tools or Supplies required for your move?
Do you have any special instructions for us ?			(Things like landmarks, cell phone numbers, warnings about alarms, unusual items etc)
Payment Confirmation
I am paying for my move with :		Cash Visa   MasterCard Discover American Express PayPal Company Check (Company Checks Only - No Personal Checks accepted)
Do you understand our fee structure for your payment option? (Explained Below)		Yes No
Our Fee Structure is  :
Cash - A 7 % discount is given for a cash payment and it is built into your Invoice automatically. Credit Cards (Any) -  No 7 % discount is given, and it is added to your Invoice as a separate item charge. Pay Pal - Pay Pal charges separate fees which we have no control over and are not a part of your invoice. No 7 % discount is given, and it is added to your Invoice as a separate item charge. Approved Checks (All) - A $15 processing fee is added to your Invoice as a separate item charge. Pre-Approved Company Checks only.  No Personal Checks are accepted for any reason.
Do you have any questions or any concerns about your move ? Can we email you the answer ?			(You can also text Aaron at (765) 448-4713 or call him at the same number at any time day or night.)