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Personal Information
First name: *
Last name: *
E-Mail Address: *
Home Phone: *
Work Phone:   extension: 
Fax:
Best time to contact you:
Estimated move date:


Origin Address Destination Address
Address:
City :*
State:*
Country*
Zip Code:
Size of apartment:
Elevator: Yes   No Yes   No
# of Floors:


General Information
No. of people living in the apartment: 1 2 3 4 5
Will you need: Packing Unpacking Storage

Where Did You Find Us? *



Living Room:
Bench Mirror
Bookshelves, Sect Music Cabinet
Bureau Ottoman
Chair, straight Hall Table
Chair, Occasional Magazine Rack large
Chair, rocker Piano, Baby Grand
Chair, overstuffed Stone
Clock, Grandfather Piano, Spinet/Upright
Entertainment center, large Organ
Wall Unit Recliner
Chair, Arm Room Divider
Fireplace Equip Rugs, Lg. Roll
Footstool Rugs, Sm. Roll
Fake Tree Entertainment Center
CD Rack Chaise Lounge
Lamp, Floor Sofa, Hide, 4 Cush
End Table Sofa, Loveseat
Coffee Table Sofa, Sectional
Magazine Rack small Sofa, 3 Cushion
Table Lamp Television Stand
Floor Lamp  
Dining Room:
Buffet (base) Baker's Rack
Hutch (top) Wine Rack
Cabinet, corner Stool
Rug (small) Dining table
Rug (large) Dining Chair
China Cabinet 1 piece China Cabinet 2 piece
Vanity Curio Cabinet
Bar Console Table
Tea Cart  
Bedrooms:
Bed, single Dresser, single
Bed, double Dresser, double
Bed, queen Dresser, triple
Bed, king Night table
Bed, bunk (set 2) Chaise Lounge
Bed, Rollaway Dresser, Vanity
Armoire Chest of Drawers
Mirror Chest Bachelor
Treadmill Hope Chest
Dish Pack Chest, Cedar
Head Board Day Bed
Foot Board Futon
Trunk  
Nursery:
Baby Carriage Chest, toy
Crib, baby Table, child's
Bassinet Car Seat Car Seat
Chair, Child's Changing Table
Dresser Small Child's Rocking Chair
Stroller Rocking Chair
Appliances:
Aircond/window.sm Refrigerator Large
Aircond/window.lg Vacuum cleaner
Dishwasher Washing machine
Dehumidifier Dryer
Deep Freezer Stove
Refrigerator Medium Dorm Refrigerator
Steam cleaner Stackable Washer
Kitchen:
Chairs Baker's Rack
Breakfast table Kitchen Chair
Microwave Stand Microwave
Utility Closet Plasks Storage Cabinet
Porch & Outdoor:
BBQ Grill, Large B.B.Q
BBQ Grill, Small Bench
Bird Bath Picnic Bench
Chair, Plastic Picnic Table
Chair, Aluminum Patio Chair
Chair, Metal Drafting Table
Chair, Wood Skis Poles
Garden Hose and Tools Snow Blower
Glider Patio Table and Umbrella
Golf Clubs, Bag Weed Eater
Ladder Small Basketball Hoop
Aquarium Bird Cage
Ladder , Extension Dog Cage
Lawn Mower, Rider (HP) Cooler
Lawn Mower, Hand Duffle Bag
Lawn Mower, Push Wheelbarrow
Leaf Blower Safe
Hammock  
Office/Misc:
Desk Small Office Chair
Desk Secretary Game Table
Desk Corner Exercise Bike
Trihole Sewing Machine
Kids Bike Power Tool Hand Ea.
Bookcase Power Tool Stand
Basket (Clothes) Sewing Mach. Console
Bicycle Sewing Mach. Port.
Generator Sewing Mach with cab
Chair, Folding Sled
Clothes Hamper Suitcase
Bookshelf Table, Card
Desk Office Table, Utility
Exercise Machine Tire
Total Gym Tire with rim
Fan Guitar
Plant Stand Garden Tools
Filing Cab. 2 Drawer Tool Chest, Small
Filing Cab. 4 Drawer Trash Can
Credenza Tool Chest, Large
Footlocker Wagon, Child's
Heater Waste Basket
Suitcase Work Bench
Weights Folding Chair
Metal Shelves Folding Table
Boxes:
Book Box (Small) Linen Box (Medium)
China Box (Large) Wardrobe Box
Picture / Mirror Box Ex-Large
Dish Pack Lamp Box

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