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Note: The actual location of the item in your home does not effect your price.

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Living Rm

Family Rm

Qty Bedroom

Den/Office

Qty Kitchen

Dinning Rm

Qty Basement

Attic/Misc.

Qty Office / Shop

Misc.

Qty
Bar - Portable Armoire Bench

Plastic Bins-Med

Bar BQ Grill Sm
Bench Bed-Single Buffet Plastic Bins-Sml

Bar BQ Grill Lg.
Bookcase Bed, Youth Chair, Dining Rm Boxes-Ex. Lg. Bike
Bookcase, Section Bed, Double Chair, High Boxes-Large Garbage Can
Chair, Arm Bed, Queen Chair, Kitchen Boxes-Med. Glider
Chair, Occasional Bed, King China Cabinet Boxes-Small Hose
Chair, Overstuff Bed- Bunk, Trun. Corner Cabinet Mirror Paks Ladder Extension
Chair, Recliner Bed- Water, Disa Curio Cabinet Card Table Set Ladder Step
Chair, Rocker Bed, Rollaway Hutch Chair, Folding Lawn Cart
Chair, Straight Bench, Vanity Ironing Board Clothes Baskets Lawn Chair
Clock, Grandfather Bookcase - Large Kitchen Cabinet Cooler/Ice Chest Lawn Mower
CD/ Video Rack Bookcase - Sectio. Microwave Cart Cot

Lumber
Daybed Cedar Chest Roaster Fan Metal Shelves
Desk, Small Chair, Boudoir Serving Cart Foot Locker Outdoor Sculpture
Desk, Secretary Bed - Water, Ass. Chair, Childs Golf Bag Outdoor Tools
Electronics Chair, Rocker Stool Gun Cabinet Chair Aluminum
Entertain. Center Clothes Tree Table, Dining Rm.

Metal Shelves Patio Chair
Fireplace Equip. Credenza

Table Leaf

Pet Cage Patio Table
Footstool Bassinet Chair,High   Foosball Table Umbrella
Hall Chest Changing Table Table, Kitchen Ping Pong Table Picnic Bench
Lamp, Pole Crib Leaf Pool Table-Slate Picnic Table
Magazine Rack High Chair Waste Basket Pool Table-Other Planter-Large
Music Cabinet Playpen Water Cooler Power Tool Planter-Small
Picture Desk - Large Tea Cart Sports Equipment Port. BB Hoop
Piano-Baby, Upr. Computer Pieces

Appliances

Storage Cabinet Riding Mower
Piano-Parlor Gr. Desk - Small Suitcase Sandbox
Piano-Spinet Dresser, Single Air Conditioner Table-Folding Storage Cabinet
Plant-Lrg, live Dresser, Chest Clothes Dryer Utility Cabinet Swing Set
Plant-Artificial Dresser, Double

Clothes Washer Table, Utility Tires
Plant-Sml, live

Dresser, Triple

Wash/Dry Combo

Tackle Box Tricycle
Plant-Sml, fake Exercise Equip.

Compactor Tool Chest Umbrella
Radio, Table File Cabinet-Large Dehumidifier Toy Chest Wagon, Childs
Rug, Large Roll File Cabinet-Small Dishwasher Toys-Large Wheel Barrow
Rug, Small File Cabinet-Lat. Freezer, <10cf Trunk X-mas Tree
Sofa-2 Cushion File Cabinet-Lat. Freezer, 11-16cf Work Bench

Fern/Plnt Stand
Sofa-3 Cushion Futon Freezer, >16cf

Walker

   
Sofa-4 Cushion Floor Lamp Humidifier

Clothes Rack

   
Sofa-Hide-a-bed Hamper Microwave

Plastic Bin, Med.

   
Sofa-with Recliner Hanging Clothes/2ft. Refrig<7 cf

Add'l

   
Speakers Mirror Refrig 7-10 cf

Waste Basket

   
Stereo Cabinet Night Table Refrig >10 cf

Filing Cbt.Crdbd.

   
Table Coffee/End Rug, Large Stove/Range

   
Table, Drop/Occas. Rug, Small Vacuum Cleaner

   
TV-(19" or less) Sewing Machine-C Table, Child

   
TV-(20-40") Sewing Machine-P        
TV-(Over 40") Vanity        
TV/Snack Trays Wardrobe, Small        
TV Stand Wardrobe, Large     Other 
TV Table         Other 
Curio Cabinet         Other 
Wicker Settee         Other 
Telephone Stand         Other 
TV Console         Other 
TV,Table Model            

Customer Information

Name

Home Phone

Address  
City State  

Zip

Work Phone

E-Mail  
New Address

Cell Phone

New City New State 

New Zip

 
Approx. Move Date     Fax Number
 
Distance in feet from where the truck can park to your front door
  Current Home/Apt  New Home/Apt   
Flight of stairs to current front door (Over 8 Steps)
  Current Home/Apt  Elevator Available?  
Flights of stairs to new front door (Over 8 Steps)
  New Home/Apt  Elevator Available?  
How would you like to be contacted with your price?       
How did you hear about us? 
Special Notes:      

 

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