Thank you for considering Vintage Transport. We appreciate your trust and will do all that is necessary to transport your valuables safely to their destination. Please fill out the short form below. After you have verified that the information you are sending is correct and complete, click on the submit button.

A qualified Customer Service Representative will put an estimate together for you and either e-mail you or call you. If you prefer, you may print out this page and fax it to us at (770) 451-6920. Again, an estimate will be calculated and called in to you.

The information requested is important in calculating an accurate price estimate. All measurements should be given in inches. Please indicate if items described in the section below contain glass panels, marble tops, or other breakable parts.

Our minimum charge for any order is $350

Fields with an asterisk are required

* Last Name			* Home Phone
* First Name			* Work Phone
Company			Fax Number
* Address			Cell Phone
Address			Email Address
* City			* State	AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MO OH OK OR PA RI SC SD TN TX UT VA VT WA WV WI WY
* ZIP/Postal Code			Country

Pickup Point

All fields are required

City			State	AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MO OH OK OR PA RI SC SD TN TX UT VA VT WA WV WI WY		ZIP/Postal Code
Are there any stairs at the pickup point?							Select Yes No
If so, how many full flights of stairs?							Select 0 Less than 5 steps 1 full flight 2 full flights 3 full flights 4 full flights 5 full flights
Is there a long carry at the pickup point (over 75ft from the door)?							Select Yes No
Is there an elevator at the pickup point?							Select Yes No

Delivery Point

All fields are required

City			State	AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MO OH OK OR PA RI SC SD TN TX UT VA VT WA WV WI WY		ZIP/Postal Code
Are there any stairs at the delivery point?							Select Yes No
If so, how many full flights of stairs?							Select 0 Less than 5 steps 1 full flight 2 full flights 3 full flights 4 full flights 5 full flights
Is there a long carry at the delivery point (over 75ft from the truck)?							Select Yes No
Is there an elevator at the delivery point?							Select Yes No

Quantity	Item Description	Weight	Height	Width	Depth	Value

Our normal charges do not include specific date guarantees. Our normal transit times range from 7 to 21 days. Specific date guarantees may result in a surcharge. Please complete the following only if you require specific dates for pickup and/or delivery.

Date of Pickup			Date of Delivery
Preferred Date	M 1 2 3 4 5 6 7 8 9 10 11 12 D 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 Year 2006 2007 2008		Preferred Date	M 1 2 3 4 5 6 7 8 9 10 11 12 D 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 Year 2006 2007 2008
Latest Date	M 1 2 3 4 5 6 7 8 9 10 11 12 D 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 Year 2006 2007 2008		Latest Date	M 1 2 3 4 5 6 7 8 9 10 11 12 D 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 Year 2006 2007 2008

Please note that our price estimate is based on the information provided to us on this form. Should the dimensions or any other information differ, the price estimated is subject to change. You must agree to these conditions in order to request an estimate.

 I agree to the conditions stated above