REQUIRED  
Name
Current Address
Current City
Current State
Current Zip
Phone
Email
Moving Date
Move Type
Sq Ft
Packing Service
How Many Rooms
New Address
New City
New State
New Zip
   
Comments

Appliances
 Air Conditioner Window
 Dryer Electric Gas
 Dishwasher
 Electric or Gas Range
 Freezer (capacity 10 cu or less)
 Freezer (capacity 16 cu and over)
 Fridge capacity(<10 cu ft)
 Ironing Board
 Washing Machine
 Freezer (capacity 11 to15 cu)
 Fridge capacity 16 cu
 Fridge capacity(<11-15 cu)
 Vacuum Cleaner

Dining Room
 Buffet
 Cabinet Corner
 Dining Table (6 person or less)
 Harvest Bench
 Rug Small or Pad
 Cabinet China
 Chair(s) Dining
 Dining Table (8 person or more)
 Rug Large or Pad
 Tea Cart

Bedroom
 Armoire
 Bed Bunk (set of 2
 Bed Rollaway
 Chaise lounge
 Sectional Bookshelves
 Vanity
 Bed Single or Hollywood
 Dresser single or chest of drawers
 Triple Dresser
 Wardrobe, Cabinet LG
 Double Bed
 King/Queen
 Cedar Chest
 Futon w/matress
 TV Console
 Wardrobe, Cabinet SM
 Chair Straight or Rocker
 Night Table
 TV Portable

Living Room
 Bar Portable
 Chair Arm
 Chair Straight
 Entertainment Center Lg
 Loveseat
 Rug or Pad Lrg
 Sofa Rattan/Wicker
 Cabinet Curio
 Chair Rocker
 Desk Sm/winthrop
 Floor Lamp(s)
 Piano Spinet/Console
 Sofa (4 cushions)
 Bookshelves Sectional
 Chair Overstuffed
 Desk Large Secretary
 Fireplace Equip.
 Piano Baby Grand/Upright
 Small Organ
 Bench
 Chair Occasional
 Clock Grandfather
 Entertainment Center sm
 Magazine Rack
 Rug or Pad Sm
 Sofa( 3 cushions)

Nursery
 Baby Crib
 Chair(s) Child
 Chest
 Play Pen
 Toy Chest
 Bed(s) Youth
 Chair(s) High
 Dresser
 Table(s) Child

Kitchen
 Bakers Rack
 Chair(s) Breakfast
 Serving Cart
 Table Breakfast
 Cabinet Utility
 Microwave Oven/ Roaster
 Stool(s)
 Table Utility

Miscellaneous
 Baby Carriage
 Cabinet Two Drawer Filing
 Desk Office
 Golf Bag
 Shelve(s) Metal
 Table Card
 Tool Chest
 Bicycle
 Chair Folding
 Fernery or Plant Stand
 Plastic Tub(s)
 Standing Fan(s)
 Table Ping Pong
 Tricycle
 Birdcage w/Stand
 Childs Wagon
 Foot Locker
 Power Tool(s)
 Step Ladder
Pool Table
 Waste Paper Basket(s)
 Cabinet Five Drawer Filing
 Clothes Hamper
 Garbage Can(s)
 Sewing Machine
 Suitcase(s)
 Table Utility
 Work Bench

Cartons
 1.5 cu Ft Carton
 4.5 cu Carton
 Dish Pack/Barrels
 Wardrobe
 3 cu Ft Carton
 6 cu Ft Carton
 Mirror

Outdoor
 Barbeque Portable
 Chair(s) Porch
 Lawn Tools( Rakes,etc)
 Outdoor Gym
 Rug Large
 Table Picnic
 Bench Picnic
 Garden Hose/Tools
 Lawnmower Hand
 Outdoor Slide
 Rug Small
 Umbrella(s)
 Bird Bath
 Ladder Extension
 Lawnmower Power
 Outdoor Swing
 Sandbox
 Wheelborough
 Chair(s) Lawn
 Ladder Step
 Lawnmower Riding
 Rocker Swing
 Spreader