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*Fields are Mandatory Residential Move Estimate Form *Name:   *Home Phone #   Office Phone #       Ext  Mobile Phone #   *Email:   *How did you hear about us?:   - - - Select - - - Google Yahoo MSN AOL Other Search Engine Referral Other Street Address Moving From (include apartment number where applicable): Please check if moving from a private residence   Please note how many flights of stairs in your current residence   Street Address Moving To (include apartment number where applicable): Please check if moving to a private residence   Please note how many flights of stairs in your new residence   Approximate moving date:   Please check if you will require storage   For how long?   Do you require packing services?   Do you require unpacking services?   Please complete the following table of measurements: Living Room article # pieces article # pieces article # pieces Bar, Portable Footstool Sofa, Loveseat Bench, Frsd/Piano Hall Tree Rack Sofa, 3 Cushion Bookcase Hall Tree Large Sofa, Hide, 4 Cush Bookshelves, Sect. Lamp, Floor Stereo Component Cabinet, Curio Lamp, Pole Stereo, Console Chair, Straight Magazine Rack Tables, Dropl/Occas Chair, Arm Music Cabinet Tables, Coffee Chair, Rocker Piano Baby Gr/Upr Tables, End Chair, Occasional Piano, Parlor Grand Telephone Stand Chair, Overstuffed Piano, Spinet/Console TV, Portable Chest, Cedar Radio, Table TV, Table Model Clock, Grandfather Rec. Player, Port. TV, Console Day Bed Rugs Lg Roll/Pad TV, Combination Desk, SM/Winthrop Rugs Sm Roll/Pad TV Stand Desk, Secretary Sofa Rattan/Wicker Trunk Fireplace Equip. Sofa, Sec., Per Sec. Dining Room article # pieces article # pieces article # pieces Bench, Harvest Dining Table Tea Cart Buffet (Base) Dining Chair Rugs, Large or Pad Hutch (Top) Server Rugs, Small or Pad Cabinet, Corner Bedroom article # pieces article # pieces article # pieces Bed Incl Sp/Matt Chair, Boudoir Dresser Single Bed, Waterbed Base Chair, Str/Rocker Dresser Double Bed, Rollaway Chaise Lounge Dresser, Triple Bed, Single/Hollywood Chest, Bachelor Night Table Bed, Std/Double Chest, Cedar Rug, Large or Pad Bed, Queen Chest, Armoire Rug, Small or Pad Bed, King Desk, SM/Winthrop Wardrobe, Small Bed, Bunk (Set 2) Dresser/Vanity Sch Wardrobe, Large Bookshelves, Sect. Dresser, Vanity Nursery article # pieces article # pieces article # pieces Bathinette Chest Playpen Bed, Youth Chest, Toy Rug, Large or Pad Chair, Child's Crib, Baby Rug, Small or Pad Chair, High Table, Child's Appliances article # pieces article # pieces article # pieces Air Cond/Wind Sm Freezer, 16 or Over Refrigerator, 7 to 10 cu ft Air Cond/Wind Lg Range, 20" Wide Refrigerator, 11 cu ft/over Dehumidifier Range, 30" Wide Trash Compactor Dishwasher Range, 36" Wide Vacuum Cleaner Freezer Refrigerator (CuCp) Washing Machine Freezer, 10 or less Refrigerator, 6 cu ft or less Dryer Freezer, 11 to 15 Kitchen article # pieces article # pieces article # pieces Bkft Suite, Chairs Kitchen Cabinet Stool Breakfast Table Microwave Oven Table Chair, High Serving Cart Utility Cabinet Ironing Board Porch and Outdoor article # pieces article # pieces article # pieces BBQ Grill, Small Lawn Mower, Hand Roller, Lawn BBQ Grill, Large Lawn Mower, Power Rug, Large Chairs, Aluminum Lawn Mower, Riding (HP) Rug, Small Chairs, Metal Leaf Sweeper Sandbox Chairs, Wood Outdoor Child Slide Spreader Gard. Hose & Tools Outdoor Child Gym Table, Small Glider or Sattee Outdoor Dry. Racks Table, Large Ladder, 6' Step Outdoor Swings Umbrella Ladder, 8' Metal Picnic Table Wheelbarrow Ladder, Extension Picnic Bench Miscellaneous article # pieces article # pieces article # pieces Baby Carriage Filing Cab. 2 door Sewing Machine w/Cabinet Barbells Filing Cab. 4 door Sled Basket (Clothes) Footlockers Suitcase Bicycle Game Table Table, Utility Tricycle Golf Bag Tackle Box Bowling Ball/Bag Heater, Gas/Elec Tire Card Table Metal Shelves Tire w/Rim Folding Chairs Ping Pong Table Toolchest, Small Clothes Hamper Pool Table, Comp. Toolchest, Medium Cot, Folding Pool Table, Slate Toolchest, Large Desk, Office Power Tool, Hand Ea. Trash Can Fan Power Tool Stand Wagon, Child's Fern/Plant Stands Sewing Machine, Port. Wastepaper Basket Filing Cab. Crdbd Sewing Machine, Console Work Bench Please list glass, mirror, and marble items here: Please list any questions or comments here:

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