Payment Form "*" indicates required fields Step 1 of 2 50% Lead Mover's Name*Inventory Control Check*Make sure these items are back on the truck before leaving customers location. Move Clipboard (2) Hand truck dollys (1) 4-wheel dolly Furniture Pads Toolbox Move Base Charge* 2-Hour Minimum 3-Hour Minimum 4-Hour Minimum Flat Rate Customer Name*Start Time8:00 am8:15 am8:30 am8:45 am9:00 am9:15 am9:30 am9:45 am10:00 am10:15 am10:30 am10:45 am11:00 am11:15 am11:30 am11:45 am12:00 pm12:15 pm12:30 pm12:45 pm1:00 pm1:15 pm1:30 pm1:45 pm2:00 pm2:15 pm2:30 pm2:45 pm3:00 pm3:15 pm3:30 pm3:45 pm4:00 pm4:15 pm4:30 pm4:45 pm5:00 pm5:15 pm5:30 pm5:45 pm6:00 pm6:15 pm6:30 pm6:45 pm7:00 pm7:15 pm7:30 pm7:45 pm8:00 pm8:15 pm8:30 pm8:45 pm9:00 pm9:15 pm9:30 pm9:45 pm10:00 pmFinish TimeChoose10:00 am10:15 am10:30 am10:45 am11:00 am11:15 am11:30 am11:45 am12:00 pm12:15 pm12:30 pm12:45 pm1:00 pm1:15 pm1:30 pm1:45 pm2:00 pm2:15 pm2:30 pm2:45 pm3:00 pm3:15 pm3:30 pm3:45 pm4:00 pm4:15 pm4:30 pm4:45 pm5:00 pm5:15 pm5:30 pm5:45 pm6:00 pm6:15 pm6:30 pm6:45 pm7:00 pm7:15 pm7:30 pm7:45 pm8:00 pm8:15 pm8:30 pm8:45 pm9:00 pm9:15 pm9:30 pm9:45 pm10:00 pmTotal Hours*Base Charge*Hourly Rate*Flat Rate Charge*Subtotal*Subtotal*Subtotal*Did customer make reservation deposit?* Yes No Total Due Today(Without Reservation Paid)*Total Due Today(Without Reservation Paid)*Total Due Today(Without Reservation Paid)*Total Due Today (Reservation Deposit Applied)*Total – $100 DepositTotal Due Today (Reservation Deposit Applied)*Total – $100 DepositTotal Due Today (Reservation Deposit Applied)*Total – $100 DepositTotal Due Today (Reservation Deposit Applied)*Flat Rate – $100 DepositTotal Due Today (W/Out Reservation Deposit)*Flat RateCheckmark if you agree to the following:* Affordable City Movers has finished the services I requested. I have inspected the truck and none of my possessions remain on the truck. I have inspected my possessions and everything is in the same condition as before the service began. Select AllMethod of Payment* Cash Venmo – “AffordableCityMovers” Zelle Quickpay – “info@affordablecitymovers.com” Credit Card Would you like to leave gratuity for the movers?Tipping is completely optional and our movers are very appreciative. Yes No Movers' Gratuity*Tipping is based on your judgement on how well your movers performed for you today.Final Move Total* Price: $0.00 Final Move Total*3% Card Processing Fee* Price: $0.00 TotalFinal Total Including Processing Fee Credit Card*Card Details Cardholder Name Email For Receipt* Minimum 2-hour duration required.
