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Indiana University Bloomington
 

IUB - Purchasing
Moving request to Contractors


Welcome to IU. To schedule a physical survey of your home and/or to receive estimates, or more information, please complete the following form. The information will be sent electronically to all van line companies and a representative from each will contact you. An * indicates a required field

Transferee's name:

*
Contact person's name: *
Daytime phone: - - *
Evening phone: - - *
Email: *
Best time to call:
Best day to call:
Best way to contact you: Phone   Email
University Dept: *
Estimated move date: *

Moving from:

Address1: *
Address2:
City, State Zip: ,    *

Moving To:

Address1: *
Address2:
City, State Zip: ,    *

Services Required (please check all that apply)

Pack Load Deliver Unpack

Household Information:

Number of Bedrooms:

 

Appliance Services:

Washer Electric Dryer Gas Dryer Electric Stove Gas Stove Freezer Ice Maker

Other - Please type in any other appliances you may need moved.

Oversized Items:

Auto Piano

Other - Please type in any other oversized items that will need to be moved.

Warehouse Services

Length of Storage

Insurance:

Please let us know any additional information, which will help us serve you better.