Enter how many of each item in the blank provided to the left.
Leave blank items not moving.
To list "others", enter the number and name of each item,
and separate them using commas (Example: 1 table, 2 drawers, 3 fans).
* Denotes items to be disassembled or disconnected.

BEDROOM(S)  King Sized Beds *  Queen Sized Beds *  Full / Double Beds *  Single Beds *  Bunk Beds *  Day Beds / Trundle Beds  Rollaway Beds  Water Beds *  Futon with Frame *  Four Post Hd/Ft Board *  Canopy Hd/Ft Board *  Sleigh Hd/Ft Board *  Bookcase Headboard *  Bridge Headboard w/ Tall Pier Cab *  Bridge Headboard w/ Short Pier Cab *  Captain's Bed Frame *  Platform Bed Frame *  Headboards / Footboards *  Etagere *  Cribs *  Bassinettes *  Night Tables  Dressers  Mirrors (Detached)  Standing Mirror  Chests of Drawers  Vanities  Armoires / Wardrobe  Armoires / Wardrobe (pieces)  Chest / Trunk Other: LIVING ROOM  Sofa Beds / Hide-A-Beds  Reclining Sofas  Couches / Sofas  Love Seats  Sectional (pieces)  Over-stuffed Chairs  Recliner / Armchair  Chaise Lounge  Ottoman / Footstool  End Tables / Coffee Tables  Sofa Tables  Hall Tree  TV, portable  TV, 20-29 inch  TV, 30-39 inch  TV, 40-49 inch  TV, 50-59 inch  TV, 60+ inch  TV Stand  Stereo Components / VCR / DVD  Entertainment Center  Entertainment Center (pieces)  Bookcases  Glass Door Bookcases  Posters & Prints  Paintings  Table Lamps  Floor Lamps Other:

KITCHEN  Refrigerators / Freezers *  Mini Fridge  Microwaves  Baker's Racks  Pie Safe  Wine Rack  Range / Stove / Oven *  Trash Compactor *  Countertop Appliances  Washer *  Dryer * Other: DINING ROOM  Dining / Kitchen Tables  Glass Table Tops  Chairs  China Cabinets *  China Cabinets * (pieces)  Sideboards  Curio Cabinets  Buffets / Servers  Dining Carts  TV Tray Sets Other: OFFICE / DEN  Desks * Office / Rolltop  Executive Desks  Credenza  Desk Chairs  Desk Mats  Small Desk  Secretaries  Computer Desk / Table  Hutch  Computer and Monitor  Printer / Scanner / Fax  Large Copier  Desktop Copier  2-Drawer Filing Cabinets  4-Drawer Filing Cabinets  2-Drawer Lateral Files  4-Drawer Lateral Files  2-Drawer Fireproof Files  4-Drawer Fireproof Files  Folding Chairs  Folding Tables  Long Folding Tables Other: GARAGE/SHED  Bicycles  Motorcycles  Trash Cans  Power Tools  Large Power Tools  Work Benches  Large Work Benches  Garden Tools  Tires  Push Mowers  Riding Mowers  Leaf Blowers / Edgers  Golf Clubs  Ladders  Storage Bins  Storage Shelves  Storage Cabinet  Rolling Tool Chests  Rolling Tool Chest (pieces)  Tool Boxes Other:

LARGE INSTRUMENT  Upright Pianos  Spinet Pianos  Organ  Baby Grand Pianos  Drums  Sound Equipment Other: PATIO/YARD  Grills / BBQ  Lawn Chairs  Patio Tables  Patio Chairs  Patio Umbrellas  Picnic Bench  Child's Gym / Swings  Statues  Air Conditioner  Hoses  Patio Swing  Plant Stand  Bird Bath Other: LARGE ITEMS  Pool Tables *  Heaters * (Gas, Electric)  Hottubs / Spas *  Dog Houses / Kennels  Gun Cabinets  Floor Safes  Playscapes  Sculptures  Grandfather Clocks Other: MISCELLANEOUS  Boxes less than 50 lbs  Boxes 50 - 75 lbs  Dish Packs  Plastic Totes  Elfa Shelving Units  Stackable Units  Wardrobe Boxes  Clothing (linear feet)  Exercise Machine  Large Exercise Machine  Weight Bench  Lbs of Weights  Vacuums / Ironing Boards  Suitcases / Luggage  Glass Shelves  Glass Tops  Marble Tops  Large Marble Tops  Area Rugs  Sewing Machines  Sewing Tables  Pet Condos / Carriers  Aquariums up to 50 gal  Aquariums 50 - 100 gal  Aquarium Stands  Patio / Kitchen Benches Other:

How did you hear about us?:  - - Select - - Yellow Pages Advertisement Flyer Moving Truck Search Engine Quote Service Referral Repeat Customer Other Referred by: - - Select - - Real-estate Agent Apt. Manager Sales Rep. Web Service Family Friend Neighbor Referral's Name:     Referring Company: