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Business Phone Number:	x
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*Moving Date:	DD/MM/YYYY
Origin Information: Use Contact Address as Origin Address
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Flights of Stairs:
Elevator?:
Total Rooms:
Destination Information
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Flights of Stairs:
Elevator?:
Total Rooms:
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Final charges will be based on actual shipment weight:
Guarantee price of shipment to the list below. Ship only the items listed.:

Please Fill out the information below regarding the items you will require us to move.

LIVING ROOM
Item	QTY
BENCH - PIANO

BOOKCASE

BOOKSHELVES - SECT.

CHAIR - ARM

CHAIR - OCCASIONAL

CHAIR - OVERSIZED

CHAIR - RECLINER

CHAIR - ROCKING

CHAIR - STRAIGHT

CLOCK - GRANDFATHER

CURIO CABINET

ENT. UNIT

FIREPLACE TOOLS

FOOTSTOOL

FUTON

LAMP - FLOOR / POLE

PIANO - APT. SIZE

PIANO - BABY GR / UPR

PIANO - PARLOUR GR

SOFA - LOVESEAT

SOFA 3 CUSHION

SOFA - HIDE A BED

STEREO COMPONENTS

STEREO MINI

TABLE - COFFEE

TABLE - END

T.V. UP TO 24"

T.V. 25" TO 27"

T.V. 32"- 36"

T.V.BIG SCREEN 50"

T.V.BIG SCREEN 60"

T.V. STAND

VCR / DVD

DINING ROOM
Item	QTY
BUFFET ( BASE )

CABINET - CORNER

DINING CHAIR

HUTCH ( TOP )

SERVER / SIDEBOARD

TABLE - EXTENSION

TEA CART

BEDROOM
Item	QTY
ARMOIRE

BED - SINGLE

BED - DOUBLE

BED - BUNK (SET OF 2)

BED - QUEEN SIZE

BED - KING SIZE

BED WATERBED BASE

CHEST OF DRAWERS SM

CHEST OF DRAWERS LG

CHEST - HOPE

DRESSER - SINGLE

DRESSER - DOUBLE

DRESSER - TRIPLE

NIGHT TABLE

VANITY & BENCH

WARDROBE

NURSERY
Item	QTY
BASSINET

BED - YOUTH

CHAIR - CHILD'S

CHAIR - HIGH

CHEST OR DRESSER

CRIB -

PLAY PEN

STROLLER

TABLE - CHILD'S

KITCHEN
Item	QTY
BREAKFAST CHAIR

BREAKFAST TABLE

IRONING BOARD

KITCHEN CABINET

MICROWAVE

MICROWAVE STAND

STOOL

UTILITY CABINET

UTILITY TABLE

APPLIANCES
Item	QTY
AIR CONDITIONER

DEHUMIDIFIER

DISHWASHER

DISHWASHER -BUILT-IN

DRYER

FREEZER - 10CU.FT OR LESS

FREEZER - 11 - 15 CU.FT

FREEZER - 16 CU.FT

RANGE

REFRIGERATOR - 6 CU.FT

REFRIGERATOR - 7 - 10 CU.FT

REFRIGERATOR - 11 CU.FT

REFRIGERATOR - Side by Side

SEWING MACHINE/CABINET

SEWING MACHINE - PORTABLE

VACUUM CLEANER

WASHING MACHINE

WATER COOLER

PORCH - OUTDOOR
Item	QTY
BBQ

GARDEN HOSE - TOOLS

LADDER - EXTENSION

LADDER - STEP

LAWN CHAIR

LAWN CHAIR - STACKING

LAWN CHAIR - RECLINING

LAWN MOWER - HAND

LAWN MOWER - POWER

OUTDOOR CHILD'S SLIDE

OUTDOOR DRYING RACK

OUTDOOR SWING SET

PICNIC BENCH

PICNIC TABLE

PORCH CHAIR

ROCKER - SWING

SANDBOX

SETTEE

TABLE

TRASH/GARBAGE CAN

UMBRELLA

OFFICE EQUIPMENT
Item	QTY
CHAIR - OFFICE

COMPUTER SYSTEM

CREDENZA

DESK - STUDENT

FILING - 2 DRAWER

FILING - 4 DRAWER

MISCELLANEOUS
Item	QTY
BICYCLE

BICYCLE -Kids

Exercise Equipment

FAN

FERN/PLANT STAND

FOLDING CHAIR

FOOTLOCKER/TRUNK

GAME TABLE

GOLF BAG

HEATER - GAS OR ELEC

HAMPER/BASKET

METAL SHELVES

PING PONG TABLE

POOL TABLE

POWER TOOL HAND E

POWER TOOL STAND

RUG - SMALL

RUG - LARGE

SKIS - POLES/SNOWBOARD

SUITCASE

TIRE

TOOL BOX

TOOL CHEST

WAGON - CHILD'S

WASTERPAPER BASKETS

WEIGHTS

WEIGHT BENCH

WHEEL BARROW

WORK BENCH

CARTONS
Item	QTY
BOOKS 2 CU.FT

2 CU.FT

4 CU.FT

5 CU.FT

6 CU.FT

CHINA BARREL

CRATE

TOTES

MIRROR - SMALL

MIRROR - LARGE

WARDROBE

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