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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
Entertainment center, medium

Sofa, large

Piano
 
 
 Dining Room:
 
Buffet (base)

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
Bookshelves (sectional)

Dresser, double

 
 
 
 Nursery:
 
Bed, youth

Chest, toy

Crib, baby
Table, child's

 

 
 
 
 Appliances:
 
Aircond/window.sm

Aircond/window.lg

Dishwasher
Freezer 10 cf or less

Freezer 10-15 cf

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

Refrigerator (6 cu. ft. or more)

Refrigerator (7-10 cu. ft.)
Refrigerator (11 cu. ft. or over)

Vacuum cleaner

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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