NY Dot T9886
US Dot 1118590

324 Douglass Street
Brooklyn NY 11217

Please use this form for two purposes: to help you get organized, and to email us the pertinent information. Once you have completed the form, click the "SEND" button and we will quickly get back in touch with you.

Phone: (718) 875 - 9420
Fax: (718) 875 - 9444

Hours: M-F 9am to 6pm
Sat. 9am to 2pm

Full Name: A value is required. Phone: A value is required. Current Address: A value is required. Type of Current Building: (elevator, flights, etc.). A value is required.	Email: A value is required.Invalid format. Date of Move: Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Please select a valid item.Please select an item. Month 01 02 03 04 05 06 07 08 09 10 11 12 Please select a valid item.Please select an item. New Address: A value is required. Type of new Building: (elevator, flights, etc.). A value is required.
Please tell us how were you referred to us?	Repeat Customer Friend/Relative Online Search Dream/Tea Leaves Other Please select an item.
During what times will your current building allow our work? From 12AM 1AM 2AM 3AM 4AM 5AM 6AM 7AM 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM Please select a valid item.Please select an item. Until 12AM 1AM 2AM 3AM 4AM 5AM 6AM 7AM 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM Please select a valid item.Please select an item. Will your current building require a certtificate of insurance? Yes No Please make a selection. Who will do your packing? Select Rainbow Movers You Please select a valid item.Please select an item.	During what times will your new building allow our work? From 12AM 1AM 2AM 3AM 4AM 5AM 6AM 7AM 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM Please select a valid item.Please select an item. Until 12AM 1AM 2AM 3AM 4AM 5AM 6AM 7AM 8AM 9AM 10AM 11AM 12PM 1PM 2PM 3PM 4PM 5PM 6PM 7PM 8PM 9PM 10PM 11PM Please select a valid item.Please select an item. Will your new building require a certtificate of insurance? Yes No Please make a selection. Who will do your un-packing? Select Rainbow Movers You Please select a valid item.Please select an item.
How many people work at this location? Select 1-5 6-15 31-60 61-120 121+ Please select a valid item.Please select an item.

Commercial/Office:

desk desk w/return desk chairs computer monitor cpu file cabinet - Select One 2 drawer vertical 3 drawer vertical 4 drawer vertical 5 drawer vertical 2 drawer vertical 3 drawer lateral 4 drawer lateral 5 drawer lateral file cabinet - Select One 2 drawer vertical 3 drawer vertical 4 drawer vertical 5 drawer vertical 2 drawer vertical 3 drawer lateral 4 drawer lateral 5 drawer lateral file cabinet - Select One 2 drawer vertical 3 drawer vertical 4 drawer vertical 5 drawer vertical 2 drawer vertical 3 drawer lateral 4 drawer lateral 5 drawer lateral file cabinet - Select One 2 drawer vertical 3 drawer vertical 4 drawer vertical 5 drawer vertical 2 drawer vertical 3 drawer lateral 4 drawer lateral 5 drawer lateral conference table - w/ glass top w/ stone top conference chairs shelves low 30" or less shelves medium 50" or less shelves tall 50"+

couches end tables w/ glass top w/ wood top w/ stone top credenza w/ glass top w/ stone top misc. cabinets lamps reception chairs coffee table w/ glass top w/ wood top w/ stone top copier desktop copier floor model printer fax picures/mirrors - a/v equipment - Other: