Toll free No.: 1-888-379-MOVE (6683)

contact information

* First Name:
* Last Name:
* Email Address:
* Home Phone:
   Work Phone: x
   Fax:
Best time to contact you:
Estimated move date:
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moving from

*Address:

Apt/Ste/Rm:
City:
State:
Zip:

Apt Size:

Elevator:

moving to

*Address:

Apt/Ste/Rm:
City:
* State:
* Zip:

Apt Size:

Elevator:


items to move

Living Room:
Bookcase Small Sofa/loveseat Cabinet Large Sofa

Chair, straight

Stereo

Chair, arm

Tables, coffee

Chair, rocker

Tables, end

Chair, overstuffed

TV (up to 30")
Medium Ent. Center TV (larger than 30") Large Ent. Center

VCR

Lamps

Piano

Pictures

Rugs

Chest, cedar

Dining Room:

Buffet (base)

Chair

Hutch (top)

Server

Cabinet, corner

Pictures

Rug (small)

Dining table

Rug (large)

Bedrooms:

Bed, single

Dresser, single

Bed, double

Dresser, double

Bed, queen

Dresser, triple

Bed, king

Night table

Bed, bunk (set 2)

Pictures

Bookshelves (sectional)

Lamps

Chair

TV

Rug (small)

Rug (large)

Chest, armoire

Nursery:

Bed, youth

Chest, toy

Crib, baby

Table, child's

Appliances:

Aircond/window.sm

Refrigerator (11 cf. or over) Aircond/window, lg Vacuum cleaner

Dishwasher

Washing machine

Freezer 10 cf or or less

Dryer

Freezer (16 cf. or more) Refrigerator (6 cf. or less) Refrigerator (6 cf. or more) Refrigerator (7-10 cf.)
Freezer (10-15 cf.)
Kitchen:

Chairs

Microwave cart

Breakfast table

Ironing board

Microwave oven

Porch & Outdoor:

BBQ grill, small

Lounge chairs

BBQ grill, large

Table

Chairs, aluminum

Chairs, metal

 Misc:

Bicycle

Exercise equipment

Desk, office

Computers

Filing cab. 2 door

Fine Art

Filing cab. 4 door

Musical instruments

Suitcase

Trash can



general information

Will you need: Packing Unpacking Storage
Estimated number of boxes to be moved:
Items of extraordinary value:
Comments: