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Name Email    
Move Date Time    
Phone * Work Phone Cell
Pick Up Address
Extra Stop Address
Deliver To Address
Qty.

 Living Room

Portable TV
TV Stand
Console TV
VCR/DVD
Big Screen TV
Stereo Cabinet
Stereo
# of Pcs.
Enter. Center
# of Pcs.
Wall Unit
Bookcase
Curio Cabinet
Coffee Table
Sofa Table
End Table
Arm Chair
Recliner/Rocker
Sofa
Hide-a-bed
Loveseat
Futon
Pc. Sofa Pit Group
Ottoman
Grandfather Clock
Hall Tree

Qty.
Dining Room & Kitchen
Dining Table
Granite Wood
Dining Chairs
China Cabinet
Buffet
Hutch
Bakers Rack
Tea Cart
Bar Stool
Etegere
TV Trays

Qty.
Appliances
Microwave
Microwave Cart
Stove
Qty.

 		Appliances

Refrigerator
Freezer
Washer
Dryer
Vacuum
Ironing Board
Sewing Machine
Port Cab

Qty.
Bedrooms

Crib/Baby Bed
Bunk Bed
Twin Bed
Full Bed
Queen Bed
King Bed
Water Bed
Trundle/Day Bed
Chest of Drawers
Dresser
Dresser w/ Mirror
Night Stand
Armior
# of Pcs.
Cedar Chest
Vanity
Mirror
Stool
Changing Table
Floor Mirror

Qty.
Garage

Bicycle
Regular Exercise
Lawn Mower
Tool Chest
Yard Tools
Ladder
Wheelbarrow

Qty.
Office Furniture

Writing Desk
Roll Top Desk
Desk
Exec Sec
Computer Desk
Qty.

 Office Furniture
Desk Chair
PC Computer
Filing Cabinet
# of Drawers
Hutch Top
Printer Stand
Supply Cabinet
Credenza

Qty.
Miscellaneous
Treadmill
Piano
Area Rug
Exer. Bench
Weight Set
BBQ Grill
Patio Furniture
Med. Plant
Lg. Plant
Pictures/Mirror
Lamp
Floor Lamp
Park Bench
Suitcases
Folding Table
Golf Clubs
Metal Shelf Unit
Trunk

Qty.
Boxes

One Man Boxes
Two Man Boxes
Wardrobes
Ft. of Clothes
Pictures

Qty.
Other

Additional Comments