Service Provider Application Name: Phone: Email: Username: Password: Street Address: Address Line 2: City: State: ZIP Code: I am willing to submit to a background check: Yes No Are you a solo mover or part of a team? Solo Mover Part of a move team or Move Company Are you able to provide packing services and supplies if needed? Yes No Are you able to bring a moving dolly and a basic set of tools to every move? Yes No Are you able to perform moves on military bases? Yes No Are you able to move Upright or Spinet piano? Yes No Are you able to move gun safes that are 500 lbs or less? Yes No How far are you willing to travel to perform a move? Upload FRONT of Driver's License: Upload BACK of Driver's License: About You/Your Team: I agree to the MLHC Service Provider Terms & Conditions