Estimation Form 2011/7/29 2017/8/1 Estimation Form Name* Company Phone E-mail* Address (Delivery Location) Lease Period —Please choose an option—1 - 6 months7 - 11months12 months24 months36 months Delivery DATE Family Size —Please choose an option—SingleCoupleFamily of 3Family of 4Family of 5 or more Do you have a pet?NoYes Budget (Per Month) Lease Plan —Please choose an option—Single packageCouple packageFamily of 3 packageFamily of 4 packageFamily of 5 package---Free plan *If you chose the Free Plan, please kindly list the items you wish to lease in the “Message” field. How Did You Find Us? —Please choose an option—Web SearchRelocation Company:Real Estate AgentFriendOther Message Please leave this field empty.