Please complete the form below fully. Enter Today's Date* Date Format: YYYY slash MM slash DD Enter Your Name (The Customer)*and Mike's Moving & Storage (Chatham) Ltd., (Mike's Moving) hereby agree that Mike's Moving will provide moving services to the above mentioned customer in accordance with the terms set forth below. Please note that most weekday moves are subject to a 3-hour minimum charge. Most Saturdays are subject to a 4-hour minimum charge unless other arrangements have been made with the office at time of booking. Sunday bookings are also possible but must be booked in advance and have a 6 hour minimum charge.1. Deposit A $200.00 deposit is required to hold your moving date. This payment must be received prior to moving day, within 5 business days of this agreement. This amount will be deducted from your final charges upon completion of your move. If a cancellation or date change occurs, Mike's Moving will reserve the right to decide if the deposit is refundable or transferrable.2. Location and Service Particularsa. Pack Date*YesNo, packed by ownerPack Date* Date Format: YYYY slash MM slash DD b. Load Date* Date Format: YYYY slash MM slash DD c. Load Address* Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code d. Delivery Address* Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code e. A standard booking includes 3 men and one 28' Truck In the event an employee becomes ill the crew size and rate will be reduced to 2 men. After 10 consecutive hours, the hourly rate increased to 1.50 times the standard rate. Mike's Moving reserves the right to increase or decrease the number of men quoted at the time of booking due to working conditions (i.e. weather, walk-up/down units, distance from house to truck, etc.). If additional men and additional trucks are required, an additional fee will apply. Please discuss rates with office. Charges are calculated from the time our vehicle leaves our warehouse yard until the estimated time of arrival back to our warehouse yard. All moves outside 35km of Chatham are subject to a mileage charge from our facility to the return to our facility. Any discounts offered are not applicable to these charges. The only guaranteed start time Mike's Moving can offer is at 8:00 a.m. as this is the standard start time for our company. As it often occurs where more than one move is booked for the same day, Mike's Moving can only provide an estimated arrival time of the crew and cannot he held accountable to the timing as we must complete one job before we can continue to another job. Please call the office for current rates.3. Declared Valuation Mike's Moving hereby agrees that is properly licensed and insured under applicable laws. Unless otherwise arranged, all moves travel at released valuation which is included in our hourly rate. We offer replacement value protection for an additional fee but this must be purchased prior to the date of your move. 4. Particle Board/Ready-To-Assemble Furniture In order to be moved safely, particle board furniture should be disassembled and emptied prior to our arrival. If you choose not to disassemble the furniture, we will exercise all reasonable care in its handling and transport. Due to the inherent nature of particle board, however, we will not be liable for any damages that are the result of normal handling. This includes, but is not limited to, broken joints, shelf connections and broken leg/foot inserts. 5. Methods of Payment Final charges can be paid by cash, Visa or MasterCard on the day of the move unless invoicing arrangements have been made with our office prior to moving. We cannot accept e-transfers or cheques on move day. 6. Items of Value We strongly recommend that items of value such as personal papers, passports, jewelry, money, etc. be carried with you. 7. Material Charge Note: A $15.00 charge plus H.S.T. will be added to your move to cover the costs of incidentals such as tape and shrink wrap. 8. Wardrobes Wardrobes are available for the purchase price of $32.00/wardrobe plus HST. You must make Mike's Moving aware if you require wardrobes as we normally do not carry a supply on the truck. 9. Electronic Devices/ Specialty Items Electronic devices such as stereo components and flat-screen T. V's should be securely packed and protected. Specialty items such as mechanical beds, gym equipment, grandfather clocks, and pool tables must be properly prepped for moving. We will not assume any responsibility for damage to these items if they are not. 10. Packing Service If Mike's Moving does not provide a packing service, the customer is obligated to pack property into appropriate boxes and other containers. Mike's Moving will not be responsible for damaged goods in owner packed containers or non-packed items that should be packed. 11. Appliances/Contents of Cabinets or dresser drawers All appliances should be disconnected, drained, and prepped for moving. It is the customers responsibility to disconnect any water lines, ice makers, and gas lines. Freezers should be emptied. Front Load washer and dryers should have stabilizing bolts in place. All drawers should have contents packed in appropriate boxes. 12. Miscellaneous To help us better co-ordinate and make your move as smooth and efficient as possible, any changes MUST be called into the office to ensure other bookings have not been made behind yours and that we can accommodate additions.Description of items and number of rooms to be moved: Is this a full household move or just large items only :*Full HouseLarge Items OnlyNumber of bedrooms*Other Rooms(Please check all that apply) Kitchen Laundry Room Dining Room Living Room Family Room Rec. Room/Play room Office Nursery Den Craft room/Shop Exercise Room Sunroom Outside Deck/ Patio Garage Shed Storage room/ Crawlspace or attic Approx. Size of Storage room/ Crawlspace or atticWill Appliances be moving?*YesNoNumber of RefrigeratorsNumber of FreezersNumber of WashersNumber of DryersNumber of Dishwashers(Front load washer and dryers should be prepped with hardware to secure drums for moving as per manufacturer instructions. Typically appliance stores carry these.) Please note that all appliances must be prepped and ready to move prior to our arrival and any gas fittings or water lines will not be disconnected or reconnected by Mike's MovingSpecialty Items(Please check all that apply) Upright Piano Grand or Baby Grand Piano Organ or Keyboard Games Table(s) eg. Ping pong or billiards table Fireproof safes and cabinets Large Shop tools Outdoor play centres and swing sets Commercial Appliances *All Games Tables must be prepped and ready for moving. Slate from pool tables must be crated.*All Outdoor play centres and swing sets must be disassembledPlease note that we can not accommodate moving all specialty items. Our trucks do not have lift tail gates and all items must be able to be manipulated by hand and wheeled up the ramp to be loaded. Some items may be refused depending on weight and whether or not stairs are involved. We DO NOT move hot tubs. In the event we do not have the equipment to move a specialty item, we highly recommend contacting a company that specializes in servicing and moving them.Note: if there are more rooms or items than listed above, some items MAY be refused to ensure relocation can be completed according to schedule. Signed and Dated*The parties have read and understood the foregoing terms and agree to them. The customer is verifying to Mike's Moving that he/she is the legal owner of the furniture and effects referred to or that he/she is the authorized agent thereof.If more than one person signs below, each agrees to be jointly and severally liable for all obligations under this agreement. I have read and agree to the terms and conditions stated above.Name* First Last Email* Phone*Address* Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Please provide your signature below, by signing with your mouse or finger if using a mobile device.SignatureI am completing this document on behalf of someone else.*YesNoName of Individual you are completing this on behalf of:* First Last CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.