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First Name*

Last Name*

Email Address*

Phone*

Address

City

State

Zip

Requested move date *

moving from zip *

describe the location *

moving to zip *

describe the location *

type of residence

storage requested?

Bedrooms

Floors/storeys

Stairs

Elevator

Distance

Armoire

BOOKCASE/CHINA CABINET/HUTCH

Entertainment Center

Lamps

Foot Stool/Ottomon

CHAIR (OVERSTUFFED/ARM/RECLINER)

Sectional Sofa

Sleeper

SOFA/LOVE SEAT/FUTON

TABLES: COFFEE/SOFA TABLE

TABLES: END/NIGHT STAND OR CARD

Stereo Console

TV Console

Television 32'' or less

Televsion 32'' or Over

Bed (Single/Double)

King Bed

Bunk Bed

Dresser

Armoire

Mirrors

Side Table

Night table

Medium/large rug

Bookcase

buffet

Hutch

Cabinet

Dining Table

Dining Chair

Medium/Large Rug

Breakfast Table

Chairs

Oven

Microwave

Refrigerator

Freezer

Dishwasher

Kitchen Guild

Large Desk

Small Desk

File Cabinet (2 Drawer)

File Cabinet (4 Drawer)

Chair

Desktop Computer

Printer

Bookcase

TREADMILL, STAIRMASTER OR ELLIPTICAL

Bicycle/Tricycle

Bicylce Exercise

Large exercise equipment

pool table

ping poing table

Basketball Hoop

Garbage Cans

Plants 10 inch or larger

sewing machine

Utility table

tool chest

vacuum cleaner

Ironing Board

card table

folding chair

framed picture/art

mirrors

packed suitcases

small boxes

large heavy boxes

clothing on hangers

BBQ Grill

chairs

large/small table

lawn mower

Bassinet

crib

changing table

Stroller

rocking chair

washing machine

Dryer

How did you hear about us?

Additional Address / information