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Contact Info:


First name:
Last name:

E-Mail :
Home Phone:

Work Phone:
Fax:

Best time to contact you:
Estimated move date:



 Moving From:                                                        Moving to:


Address:
Address:

City:
City:

State:
State:

Zip:
Zip:

Size of apartment:
Size of apartment:

Elevator:
Elevator:

# of Floors:
# of Floors:

   Will you need:                  Packing                                      Unpacking                                   Storage

Living Room:


Bookcase
Entertainment center, large
 Stereo

Cabinet
Lamps
 Tables, coffee

Chair, straight
Pictures
 Tables, end

Chair, arm
Rugs
 TV, up to 30"

Chair, rocker
Chest, cedar
 TV, larger than 30"

Chair, overstuffed
Sofa, loveseat
 VCR

Sofa, large
Entertainment center medium
 Piano

Dining Room:


Buffet
Rug (small)
 Chair

Hutch (top)
Rug (large)
 Server

Cabinet, corner
Dining table
 Pictures

Bedrooms:


Bed, single
Chair
 Dresser, triple

Bed, double
Rug (small)
 Night table

Bed, queen
Rug (large)
 Pictures

Bed, king
Chest, armoire
 Lamps

Bed, bunk (set 2)
Dresser, single
 TV

 Dresser, double
 Bookshelves (sectional)

Nursery:


Bed, youth
Chest, toy
 Crib, baby

 Table, child's

Appliances:


Aircond/window.sm
 Refrigerator (7-10 cu. ft.)
 Aircond/window.lg

Freezer 10 cf or less
Refrigerator (6 cu. ft. or less)
 Freezer 16 cf or over

Freezer 10-15 cf
Refrigerator (6 cu. ft. or more)
 Dishwasher

Vacuum cleaner
Refrigerator (11 cu. ft. or over)
 Washing machine

 Dryer

Kitchen:


Chair
Breakfast table
 Ironing board

Microwave oven
 Microwave cart

Porch & Outdoor:


BBQ grill, small
BBQ grill, large
 Chairs, aluminum

Chairs, metal
Lounge chairs
 Table

Misc:


Bicycle
Desk, office
 Filing cab. 2 door

Filing cab. 4 door
Suitcase
 Trash can

Exercise equipment
Computers
 Fine Art

Musical instruments

          

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