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Moving Company Quote Form

Moving quotes need origin, destination, home size, and date — four fields that determine whether you send a 16-foot or a 26-foot truck. The form captures them in 30 seconds.

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1,000/mo free·no card·works on any host

form.htmlhtml55 lines

01<form action="https://splitforms.com/api/submit" method="POST">
02  <input type="hidden" name="access_key" value="YOUR_ACCESS_KEY">
03  <input type="hidden" name="subject" value="New moving quote request">
04 
05  <label for="name">Full name *</label>
06  <input id="name" type="text" name="name" placeholder="Jane Builder" required>
07  <label for="email">Email *</label>
08  <input id="email" type="email" name="email" placeholder="jane@example.com" required>
09  <label for="phone">Phone *</label>
10  <input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required>
11  <label for="from_address">Moving from *</label>
12  <input id="from_address" type="text" name="from_address" placeholder="City, ZIP" required>
13  <label for="to_address">Moving to *</label>
14  <input id="to_address" type="text" name="to_address" placeholder="City, ZIP" required>
15  <label for="move_date">Preferred move date *</label>
16  <input id="move_date" type="date" name="move_date" required>
17  <label for="size">Home size *</label>
18  <select id="size" name="size" required>
19    <option value="">Choose…</option>
20    <option>Studio</option>
21    <option>1 bedroom</option>
22    <option>2 bedroom</option>
23    <option>3 bedroom</option>
24    <option>4+ bedroom</option>
25    <option>Office</option>
26  </select>
27  <label for="service">Services needed *</label>
28  <select id="service" name="service" required>
29    <option value="">Choose…</option>
30    <option>Loading &amp; transport only</option>
31    <option>Full service (pack + load + transport)</option>
32    <option>Packing only</option>
33    <option>Loading only at origin</option>
34  </select>
35  <label for="stairs">Stairs / elevator</label>
36  <select id="stairs" name="stairs">
37    <option value="">Choose…</option>
38    <option>Ground floor both ends</option>
39    <option>Stairs at one end</option>
40    <option>Stairs both ends</option>
41    <option>Elevator at one end</option>
42    <option>Elevator both ends</option>
43  </select>
44  <label for="notes">Anything heavy or fragile?</label>
45  <textarea id="notes" name="notes" placeholder="Piano, gun safe, art, etc."></textarea>
46 
47  <!-- honeypot — bots fill every field -->
48  <input type="checkbox" name="botcheck" style="display:none" tabindex="-1" autocomplete="off">
49 
50  <button type="submit">Send</button>
51</form>
52 
53<p style="margin-top:12px;font-size:11px;color:#888;text-align:right">
54  Powered by <a href="https://splitforms.com" style="color:#888;text-decoration:none" target="_blank" rel="noopener">splitforms</a>
55</p>

1,000

submissions / mo, free

fields, ready to ship

code outputs

60s

from copy to inbox

Moving Company Quote Form — example splitforms template with submissions inbox

§ 01Why it mattersthe qualifying-fields argument

Movers compete on speed-to-quote — the customer is filling out forms on five companies' sites simultaneously. The first company to call with a useful number wins disproportionately often. The form needs origin ZIP, destination ZIP, home size (studio / 1BR / 2BR / 3BR+), and target date. With those four fields a dispatcher can ballpark a quote in 60 seconds. Add stairs, elevator, and special items (piano, gun safe) for an accurate binding quote.

Webhooks into SmartMoving / MoveitPro / Elromco — binding quote within the hour.

✦ at a glance

→Moving company quote · 10 fields
→HTML, JS, React, PHP, cURL outputs
→One POST endpoint, no SDK
→Honeypot + classifier, no CAPTCHA

§ 02Live previewinteractive · sandboxed · no key required

See exactly what your visitors see — and you’ll receive.

Left: the rendered form, fully interactive in a sandboxed iframe. Right: the email and dashboard view that lands the moment a visitor submits.

preview · moving-company-contact-formlocalhost:3000

✦ what you’ll see in your inbox

Every submission becomes an email plus a dashboard row. The fields below are the exact payload your form will send. Reply-to is wired to the visitor’s email so hitting reply goes back to them.

dashboard · new submission14ms · 200 OK

SUBJECT · New moving quote request

Full name: Maya Iyer
Email: maya@studio71.co
Phone: +1 415 555 0142
Moving from: —
Moving to: —
Preferred move date: 2026-05-15
Home size: Studio
Services needed: Loading & transport only
Stairs / elevator: Ground floor both ends
Anything heavy or fragile?: Loved your last open house in Hayes — looking for similar with parking. Pre-approved through Wells Fargo.

Iframe is sandboxed — submit doesn’t actually fire. Get your access key to wire it up live.

§ 03Three steps3 steps · ~60 seconds

Generate, embed, receive.

Three actions stand between you and your first lead. None of them require a backend, a database, or a CAPTCHA library.

STEP 01GENERATE

Capture origin, destination, size, date

Required: from ZIP, to ZIP, home size, preferred move date. Optional: stairs / elevator at each end, special items, packing services.

Create your form

key=sk_live_••••••••

STEP 02EMBED

Quote within an hour

Webhook to your dispatch / CRM (SmartMoving, MoveitPro, Elromco). Auto-respond with a holding message and ballpark range, then call within the hour with a binding number.

snippethtml

<form action="https://splitforms.com/api/submit" method="POST">
  …
</form>

STEP 03RECEIVE

Schedule the in-home / video survey

Long-distance and 3+ BR moves need a survey. Form lead → survey scheduler → binding quote. Each step is a separate webhook in your stack.

inbox · 1 newjust now

FROM contact@yoursite.com

New moving quote request

Maya Iyer maya@studio71.co

Loved your last open house in Hayes — looking for similar with parking. Pre-approved through Wells Fargo.

§ 04Copy & ship5 languages · same endpoint

Five outputs. One backend.

HTML by default. Click open the language you ship in — every variant POSTs to the same /api/submit endpoint.

01HTMLform.html55 lines

<form action="https://splitforms.com/api/submit" method="POST">
  <input type="hidden" name="access_key" value="YOUR_ACCESS_KEY">
  <input type="hidden" name="subject" value="New moving quote request">

  <label for="name">Full name *</label>
  <input id="name" type="text" name="name" placeholder="Jane Builder" required>
  <label for="email">Email *</label>
  <input id="email" type="email" name="email" placeholder="jane@example.com" required>
  <label for="phone">Phone *</label>
  <input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required>
  <label for="from_address">Moving from *</label>
  <input id="from_address" type="text" name="from_address" placeholder="City, ZIP" required>
  <label for="to_address">Moving to *</label>
  <input id="to_address" type="text" name="to_address" placeholder="City, ZIP" required>
  <label for="move_date">Preferred move date *</label>
  <input id="move_date" type="date" name="move_date" required>
  <label for="size">Home size *</label>
  <select id="size" name="size" required>
    <option value="">Choose…</option>
    <option>Studio</option>
    <option>1 bedroom</option>
    <option>2 bedroom</option>
    <option>3 bedroom</option>
    <option>4+ bedroom</option>
    <option>Office</option>
  </select>
  <label for="service">Services needed *</label>
  <select id="service" name="service" required>
    <option value="">Choose…</option>
    <option>Loading &amp; transport only</option>
    <option>Full service (pack + load + transport)</option>
    <option>Packing only</option>
    <option>Loading only at origin</option>
  </select>
  <label for="stairs">Stairs / elevator</label>
  <select id="stairs" name="stairs">
    <option value="">Choose…</option>
    <option>Ground floor both ends</option>
    <option>Stairs at one end</option>
    <option>Stairs both ends</option>
    <option>Elevator at one end</option>
    <option>Elevator both ends</option>
  </select>
  <label for="notes">Anything heavy or fragile?</label>
  <textarea id="notes" name="notes" placeholder="Piano, gun safe, art, etc."></textarea>

  <!-- honeypot — bots fill every field -->
  <input type="checkbox" name="botcheck" style="display:none" tabindex="-1" autocomplete="off">

  <button type="submit">Send</button>
</form>

<p style="margin-top:12px;font-size:11px;color:#888;text-align:right">
  Powered by <a href="https://splitforms.com" style="color:#888;text-decoration:none" target="_blank" rel="noopener">splitforms</a>
</p>

02JavaScriptform.js71 lines

<form id="lf-form">
  <label for="name">Full name *</label>
  <input id="name" type="text" name="name" placeholder="Jane Builder" required>
  <label for="email">Email *</label>
  <input id="email" type="email" name="email" placeholder="jane@example.com" required>
  <label for="phone">Phone *</label>
  <input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required>
  <label for="from_address">Moving from *</label>
  <input id="from_address" type="text" name="from_address" placeholder="City, ZIP" required>
  <label for="to_address">Moving to *</label>
  <input id="to_address" type="text" name="to_address" placeholder="City, ZIP" required>
  <label for="move_date">Preferred move date *</label>
  <input id="move_date" type="date" name="move_date" required>
  <label for="size">Home size *</label>
  <select id="size" name="size" required>
    <option value="">Choose…</option>
    <option>Studio</option>
    <option>1 bedroom</option>
    <option>2 bedroom</option>
    <option>3 bedroom</option>
    <option>4+ bedroom</option>
    <option>Office</option>
  </select>
  <label for="service">Services needed *</label>
  <select id="service" name="service" required>
    <option value="">Choose…</option>
    <option>Loading &amp; transport only</option>
    <option>Full service (pack + load + transport)</option>
    <option>Packing only</option>
    <option>Loading only at origin</option>
  </select>
  <label for="stairs">Stairs / elevator</label>
  <select id="stairs" name="stairs">
    <option value="">Choose…</option>
    <option>Ground floor both ends</option>
    <option>Stairs at one end</option>
    <option>Stairs both ends</option>
    <option>Elevator at one end</option>
    <option>Elevator both ends</option>
  </select>
  <label for="notes">Anything heavy or fragile?</label>
  <textarea id="notes" name="notes" placeholder="Piano, gun safe, art, etc."></textarea>
  <button type="submit">Send</button>
</form>

<p style="margin-top:12px;font-size:11px;color:#888;text-align:right">
  Powered by <a href="https://splitforms.com" style="color:#888;text-decoration:none" target="_blank" rel="noopener">splitforms</a>
</p>

<script>
  document.getElementById('lf-form').addEventListener('submit', async (e) => {
    e.preventDefault();
    const data = new FormData(e.target);
    data.set('access_key', 'YOUR_ACCESS_KEY');
    data.set('subject', 'New moving quote request');

    const res = await fetch('https://splitforms.com/api/submit', {
      method: 'POST',
      body: data,
      headers: { Accept: 'application/json' },
    });

    const json = await res.json();
    if (json.success) {
      e.target.reset();
      alert('Sent!');
    } else {
      alert('Error: ' + (json.message || 'Try again'));
    }
  });
</script>

03React / Next.jsForm.tsx86 lines

'use client';

import { useState, type FormEvent } from 'react';

export default function MoversQuoteForm() {
  const [status, setStatus] = useState<'idle' | 'sending' | 'sent' | 'error'>('idle');

  async function onSubmit(e: FormEvent<HTMLFormElement>) {
    e.preventDefault();
    setStatus('sending');

    const data = new FormData(e.currentTarget);
    data.set('access_key', 'YOUR_ACCESS_KEY');
    data.set('subject', 'New moving quote request');

    const res = await fetch('https://splitforms.com/api/submit', {
      method: 'POST',
      body: data,
      headers: { Accept: 'application/json' },
    });

    const json = await res.json();
    setStatus(json.success ? 'sent' : 'error');
    if (json.success) e.currentTarget.reset();
  }

  if (status === 'sent') return <p>Thanks — we&rsquo;ll be in touch.</p>;

  return (
    <>
    <form onSubmit={onSubmit}>
      <label htmlFor="name">Full name *</label>
      <input id="name" type="text" name="name" placeholder="Jane Builder" required />
      <label htmlFor="email">Email *</label>
      <input id="email" type="email" name="email" placeholder="jane@example.com" required />
      <label htmlFor="phone">Phone *</label>
      <input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required />
      <label htmlFor="from_address">Moving from *</label>
      <input id="from_address" type="text" name="from_address" placeholder="City, ZIP" required />
      <label htmlFor="to_address">Moving to *</label>
      <input id="to_address" type="text" name="to_address" placeholder="City, ZIP" required />
      <label htmlFor="move_date">Preferred move date *</label>
      <input id="move_date" type="date" name="move_date" required />
      <label htmlFor="size">Home size *</label>
      <select id="size" name="size" required>
        <option value="">Choose…</option>
        <option>Studio</option>
        <option>1 bedroom</option>
        <option>2 bedroom</option>
        <option>3 bedroom</option>
        <option>4+ bedroom</option>
        <option>Office</option>
      </select>
      <label htmlFor="service">Services needed *</label>
      <select id="service" name="service" required>
        <option value="">Choose…</option>
        <option>Loading &amp; transport only</option>
        <option>Full service (pack + load + transport)</option>
        <option>Packing only</option>
        <option>Loading only at origin</option>
      </select>
      <label htmlFor="stairs">Stairs / elevator</label>
      <select id="stairs" name="stairs">
        <option value="">Choose…</option>
        <option>Ground floor both ends</option>
        <option>Stairs at one end</option>
        <option>Stairs both ends</option>
        <option>Elevator at one end</option>
        <option>Elevator both ends</option>
      </select>
      <label htmlFor="notes">Anything heavy or fragile?</label>
      <textarea id="notes" name="notes" placeholder="Piano, gun safe, art, etc." />

      <button type="submit" disabled={status === 'sending'}>
        {status === 'sending' ? 'Sending…' : 'Send'}
      </button>

      {status === 'error' && <p>Something went wrong. Try again.</p>}
    </form>

      <p style={{ marginTop: 12, fontSize: 11, color: '#888', textAlign: 'right' }}>
        Powered by <a href="https://splitforms.com" target="_blank" rel="noopener" style={{ color: '#888', textDecoration: 'none' }}>splitforms</a>
      </p>
    </>
  );
}

04PHPsubmit.php28 lines

<?php
// Drop into a PHP page. Receives a form POST and proxies it to splitforms.com.
// Useful when you want to add server-side validation or rate limiting.

if ($_SERVER['REQUEST_METHOD'] === 'POST') {
    $allowed = ['name', 'email', 'phone', 'from_address', 'to_address', 'move_date', 'size', 'service', 'stairs', 'notes'];
    $payload = ['access_key' => 'YOUR_ACCESS_KEY'];
    $payload['subject'] = 'New moving quote request';

    foreach ($allowed as $f) {
        if (isset($_POST[$f])) $payload[$f] = $_POST[$f];
    }

    $ch = curl_init('https://splitforms.com/api/submit');
    curl_setopt($ch, CURLOPT_POST, true);
    curl_setopt($ch, CURLOPT_POSTFIELDS, http_build_query($payload));
    curl_setopt($ch, CURLOPT_RETURNTRANSFER, true);
    curl_setopt($ch, CURLOPT_HTTPHEADER, ['Accept: application/json']);
    $response = curl_exec($ch);
    $status   = curl_getinfo($ch, CURLINFO_HTTP_CODE);
    curl_close($ch);

    header('Content-Type: application/json');
    http_response_code($status);
    echo $response;
    exit;
}
?>

05cURLtest.sh14 lines

curl -X POST https://splitforms.com/api/submit \
  -H "Accept: application/json" \
  -d "access_key=YOUR_ACCESS_KEY" \
  -d "subject=New moving quote request" \
  -d "name=Jane Builder" \
  -d "email=jane@example.com" \
  -d "phone=+15555555555" \
  -d "from_address=Jane Builder" \
  -d "to_address=Jane Builder" \
  -d "move_date=2026-05-15" \
  -d "size=Studio" \
  -d "service=Loading & transport only" \
  -d "stairs=Ground floor both ends" \
  -d "notes=Hello from cURL"

Replace YOUR_ACCESS_KEY with the key from your dashboard. That’s the only edit.

§ 04bUse this template with…17 frameworks · same backend

One template. Every framework.

The same field set works on every framework splitforms supports. HTML, React, Next.js, Vue, Astro, Hugo, WordPress — same POST, same backend.

§ 06FAQ4 answered

Things people ask before they ship.

Direct answers, no marketing fluff. Missing one? Email hello@splitforms.com.

01Should I show a price on the form?

Most movers can't — local moves are hourly with crew size variables, long-distance is weight-based. A 'starting at' range plus a clear 'we'll call within an hour with an exact number' beats hiding pricing entirely.

02How do I avoid lowball binding quotes I can't honour?

Don't quote binding from the form alone. Use the form to schedule a video or in-home survey, then quote. The form's job is to qualify and capture; the binding number comes after the survey.

03Can I integrate with SmartMoving / Elromco?

Yes — webhook the JSON. Both platforms accept inbound leads. The lead lands with origin, destination, size, and date pre-filled.

04What about lead-broker leads vs my own form?

Broker leads (HomeAdvisor, Networx) cost $30-80 each and the customer is shopping 4 companies. Your own form is free, the lead is exclusive, and the intent is higher because they reached your site directly.

✻ ✻ ✻

Ship your moving company quote form in 60 seconds.

1,000 free submissions per month. No credit card. Copy the snippet, paste your access key, watch leads land in your inbox.

Get free access key →Browse all 60 templates →

v0.1 · founders pricing locked in · early access open