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CONTACT INFORMATION
Full Name: *
Day Phone Number: *
Evening Phone Number: *
E-Mail Address: *
Contact Preference: *
Other Time To Call:
How did you hear about us?
 *

Moving From
From Address:
Apt: 
From City:
 * From Zip:   *
From State: *
Moving To
To Address:
Apt: 
To City:
To Zip: 
To State:
Move Information
Do you currently live in: *
You are moving to a: *
Move Date:
Calendar *
Storage: Yes  No
Packing: Yes  No

Living Room
    Book Case
 Arm Chair  Club Chair
 Recliner Chair  Rocker Chair  Straight Chair
 Foot Stool  Futon  Lamp - Floor
 Lamp - Table  
 
    Piano
 Magazine Rack
    Entertainment Center
 Rug (Small Area)  Rug (Large Area)  Throw Rugs
 Chaise Lounge  2 Seat (Loveseat) Sofa  3 Seat Sofa
 4 Seat Sofa  Coffee Table  End Table
 Drop-leaf/Console Table  Nest Table  Ottoman
    Bench
 Clock (Grandfather)  Clock (Wall)
 Fireplace Equipment  Mirror  Picture
Bedrooms
 Single Bed  Double Bed  Queen Bed
 King Bed  Headboard  Footboard
 Bunk Bad  Cedar Chest  
 
 Chest of Drawers Dresser  Single Dresser  Double Dresser
 Triple Dresser  Night Table  Dressing Table
    Armoire/Wardrobe Cabinet
   
Dining Room
 Dining Table  Straight Chair
    China Cabinet
 Curio Cabinet  Rugs (Small Area)  Rugs (Large Area)
 Server - Teacart  Hostess Trolley  
Kitchen
 Cabinet (Pantry)  Dishwasher  Ironing Board
 10cf or less Freezer  11-15cf Freezer  16cf or over
 Microwave Oven  6cf or less Refrigerator  7-10cf Refrigerator
 11cf or over Refrigerator  Sewing Machine (Table)  Sewing Machine (Portable)
 Microwave Cart  Stool  Stove
 Vacuum Cleaner  Washing Machine  Dryer
 Washer/Dryer Combo  Table  Straight Chair
Electronics
 Desk Top Computer  Printer  
 
 Copier - Desk Top  DVD Player  CD Player
 Fax Machine  Multi Functional - Print/Fax/Copy/Scan  Scanner
 
    Stereo Components
    Speaker
 
 
 19" to 27" Television  28" to 36" Television  Big Screen Television
 
 VCR  
OFFICE
    Book Case
 
 
 Credenza  
 
 Desk (Executive)  Desk (Computer)  Conference Table
 Office Chair  2 Dr. Lateral Style Filing Cabinet
3 Dr. Lateral Style Filing Cabinet
 4 Dr. Lateral Style Filing Cabinet  5 Dr. Lateral Style Filing Cabinet
2 Dr. Vertical Style Filing Cabinet
 4 Dr. Vertical Style Filing Cabinet  Hutch - On Top of Cabinet or Desk  
 
 Storage Cabinet  Safe  Drafting Table
 Water Cooler  Typewriter  
OUTDOOR, PORCH FURNITURE & EQUIPMENT
 BBQ (Portable Grilling)  BBQ (Full Size)  Bicycle
 Garden Hose on Reel  Garden Table  Garden Chair
 Garden Tools  Outdoor Slide  Outdoor Swings
 Swing  Table Umbrella  Wheelbarrow
 Ladder (Extension)  Ladder (Step)  Lawn Mower (Push)
 Lawn Mower (Riding)  Dog House  Sun Lounger
MISCELLANEOUS
 Card Table  Table, Folding  Chair, Folding
 Clothes Hamper  Air Conditioner  Exercise Equipment
 Fan  Golf Bag  Heater
 Ping Pong Table  Tool Chest  Trunk
 Weights  Work Bench  Plant Stand
 Pool Table  Suitcase  Ski
 Bird Cage  
PACKED/BOXED ITEMS
Book Carton
(approx. 24 "X 12" X 12")
Linen Carton
(approx. 18" X 18" X 24")
China/Dish Carton
(approx. 18" X 18" X 30")
Wardrobe Carton
(approx. 24" X 21" X 36")
 

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