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Moving To:

Moving Date:

Name: *

Address

AddressAddress Line 2CityState / Province / RegionPostal / Zip CodeCountry

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Needed Vehicle Type:

Bedroom

King BedQueen BedSingle BedHead BoardFoot BoardPost BedCanopy BedSleigh BedDay BedTrundleBunk BedCaptain BedWaterBedArmoireChest of DrawersChest of Drawers 2Small DresserLarge DresserMirrorNight StandNight Stand 2VanityCedar Chest

Bedroom 2

King BedQueen BedSingle BedHead BoardFoot BoardPost BedCanopy BedSleigh BedDay BedTrundleBunk BedCaptain BedWaterBedArmoireChest of DrawersChest of Drawers 2Small DresserLarge DresserMirrorNight StandNight Stand 2VanityCedar Chest

Bedroom 3

King BedQueen BedSingle BedHead BoardFoot BoardPost BedCanopy BedSleigh BedDay BedTrundleBunk BedCaptain BedWaterBedArmoireChest of DrawersChest of Drawers 2Small DresserLarge DresserMirrorNight StandNight Stand 2VanityCedar Chest

Livingroom

SofaSofa 2Sofa 3Hide-A-BedFutonReclinerRecliner 2Recliner 3Arm ChairArm Chair 2Arm Chair 3Rocker / Glider 3OttomanTable LampTable Lamp 2Table Lamp 3Table Lamp 4Floor LampFloor Lamp 2Floor Lamp 3Floor Lamp 4Coffee TableCoffee Table 2End TableEnd Table 2Sofa TableDVD/VCRStereo CompStereo CabinetBig Screen TV (36" & Up)Console TV (21" - 35")Portable TV (20" & Under)TV StandEntertainment CenterEntertainment Center PiecesEntertainment Center Pieces 2Entertainment Center Pieces 3Book CaseBook Case 2Piano (please list description bellow)Other Electronics (please list description bellow)Glass Top - LargeGlass Top - MediumGlass Top - Small

Dinning Room

Dining TableDining Chair 1Dining Chair 2Dining Chair 3Dining Chair 4Dining Chair 5Dining Chair 6China CabinetChina Cabinet 2BuffetCurio CabinetBaker's RackWine RackTea CartTV Tray 1TV Tray 2TV Tray 3TV Tray 4

Kitchen

RefrigeratorFreezerMicrowaveMicrowave StandWasherDryerPantryStoveVacuumIroning Board

Office

Large DeskSmall DeskWriting DeskDrafting TableSecretary DeskRolltop DeskDesk ChairRolltop DeskCredenzaFile Cabinet 2 DrawerFile Cabinet 3 DrawerFile Cabinet 4 DrawerFile Cabinet 5 DrawerComputer 1Computer 2Computer 3Printer 1Printer 2Printer 3FaxDesk CopierFloor Copier

Miscellaneous

LawnmowerEdgerWeed EaterGarden Tools (up to 10)Garden Tools (10-20)Water HouseWheel BarrowLadder (under 10ft)Ladder (under 20ft)Patio TablePatio Chair 1Patio Chair 2Patio Chair 3Patio Chair 4Patio SwingPatio UmbrellaAir CompressorBarbeque Pit

Please list any additional

Please list unusually large or heavy objects (ie... safes, gun lockers, pianos)

Number of 1 man boxes (under 50lbs)

Number of 2 man boxes (over 50lbs)

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