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Free Estimate

Call Now for a free Estimate at our

Toll Free # 1 888 274 375

Please complete this form and submit. A sales associate will contact you soon after.

Fields with Asterisk ( * ) are required .

PERSONAL INFORMATION
* Name
* E-mail
* Telephone
Best time to be contacted

EXPECTED DATE OF MOVE

* Date

MOVING FROM

City
* State
Zip
Elevator	Yes No
#of Flights

MOVING TO

City
* State
Zip
Elevator	Yes No
#of Flights

KITCHEN

Baker's Rack:

Cabinet utility:

Chair - High/Straight:

Chair breakfast:

Hutch:

Table breakfast:

Table kitchen:

Microwave:

Microwave cart:

Mixer:

Stool:

Table:

Utility cabinet:

PORCH OR OUTDOOR

BBQ Grill:

Chair - patio:

Chair long:

Chair plastic:

Chairs, metal:

Chairs, wood:

Christmas tree:

Gard. hose & tools:

Garden hose &tools:

Gas grill:

Glider or settee:

Ladder, 6' step:

Plant stand:

Roller, lawn:

Sand Box:

Slad:

Spreader:

Ladder, 8' step:

Lawn edger:

Lawn Mower, Hand:

Lawn Mower, Power:

Lawn Mower, Riding:

Leaf Sweeper:

Outdoor Child Gym:

Outdoor Child Slide:

Outdoor Swings:

Patio Set 5 pcs.:

Picnic bench:

Picnic Table:

Table - Outdoor:

Tree:

Umbrella:

Wheelbarrow:

NURSERY

Aquarium:

Barbie house:

Bathinette:

Bed, youth:

Chair, childs:

Table, childs:

Toys:

Chest, toy:

Crib:

Ironing Board:

Playpen:

Shovel:

MISC.

Air Compressor:

Amplifier:

Basket (Clothes):

Bicycle:

Bicycle light:

Bowling ball & bag:

Card Table:

CD RACK:

Chair - Folding:

Chair boudoir:

Cloth rack:

Clothes hamper:

Cooler:

Dehumidifier:

Display shelf:

Exercise Bike:

Exercise Machine:

Fan:

Fan floor:

Fern/plants stands:

Fishing Pole:

Fooseball Machine:

Sewing mach.., w/Cabinet:

Sewing Machine Console:

Sewing Machine Portable:

Speakers:

Stroller:

Suitcase:

Table,ping pong:

Weight set:

Wine rack:

Work Bench:

Footlockers:

Garden tools:

Golf bag:

Guitar/Bass:

Heater:

Isim massge chair:

Keyboard:

Ladder - 2 steps:

Ladder - Extension:

Lift chair:

Massage table:

Metal Shelves:

Musical instrument:

Organ:

Piano- Baby Grand or Upright:

Pictures Lg:

Pictures sm:

Pool Table Comp.:

Pool Table Slate:

Power Tool:

Safe:

Sewing mach..:

Tackle box:

Tires:

Tool Box:

Tool Chest:

Tool Chest medium:

Tool Chest small:

Trash Can:

Treadmill:

Wall unit per section:

LIVING ROOM

Bar, Portable:

Bed - Day:

Bench, Fireside or Piano:

Bookcase:

Bookcase 4 ft:

Bookcase 6 ft:

Bookshelves Sectional:

Cabinet corner:

Cabinet, curio:

Chair - Arm:

Chair - Occasional:

Chair - Overstuffed:

Chair - Rocker:

Chest, cedar:

Clock, Grandfather:

DVD:

Entertainment center:

Fan ceiling:

Fireplace Equipment:

Stereo cabinet:

Stereo component:

Table - Coffee:

Table - End:

Table sofa:

Telephone Stand:

Trunk:

TV Portable:

Gun cabinet:

Hutch top:

Lamp -Floor/Pole:

Lamp table:

Magazine Rack:

Music Cabinet:

Ottoman:

Piano - Grand:

Piano- Spinet or Console:

Rug, Large Roll or Pad:

Rug, Small Roll or Pad:

Sofa , 2 Cushions:

Sofa bed:

Sofa loveseat:

Sofa rattan/wicker:

Sofa, Sectional (per Section):

Sofa, 3 Cushions:

Sofa, 4 Cushions:

Stereo:

Tv 21":

TV 27" - 32":

TV 36" - 42":

TV Big Screen:

TV Combination:

Tv console:

TV Stand:

VCR:

Wall Unit:

APPLIANCES

Air Conditioner - Window:

Desk computer:

Dishwasher:

Dryer:

Freezer - 10 or less:

Freezer - extra large:

Stove:

Trash compactor:

Freezer - large:

Freezer 16 or Over:

Generator:

Refrigerator 11 cu feet or over:

Refrigerator 7 to 10 cu feet:

Refrigerator Small
6 cu feet or less:

Vacuum Cleaner:

Washing Machine:

BOXES

Box Book sm (1.5 Cu. Ft.):

Box dishpack:

Box File:

Box LG (4.5 Cu. Ft.):

Box Wardrobe:

Box med (3.0 Cu. Ft.):

Box Plastic bin Lg.:

Box Plastic bin med.:

Box Plastic bin sm.:

Box XL (6.0 Cu. Ft.):

DINING ROOM

Bench, harvest:

Buffet base:

Buffet top:

Cabinet, China (2 piece):

Tea cart:

Chair - Dining:

China cabinet:

Serving Cart:

Table - Dining:

OFFICE

Book shllf Lg.:

Book shllf sm.:

Box shiif med:

Computer:

Copy Machine:

Desk office:

Fax:

Printer:

Scanner:

File Cabinet:

Filing cab. 2 door:

Filing cab. 4 door:

Filing cab. crdbd:

Monitor:

Office chair:

Personal computer:

Server:

Type writer:

Wastepaper Basket:

BEDROOM

Armoire:

Bed - Bunk:

Bed - Double/Full:

Bed - King:

Bed - Queen:

Bed - Rollaway:

Bed - Single:

Bed - Waterbed:

Bed bridge:

Bed post:

Bed/footboard:

Dresser triple:

Dresser, Double:

Dresser, single:

Futton:

Mattress:

Bed/Headboard:

Bench:

Bureau, Dresser (small)
or Chest of Drawers:

Cedar Chest:

Chaise Lounge:

Chest large:

Chest med:

Chest small:

Desk Small or Winthrop:

Divider:

Dresser - Vanity:

Mirror lrg:

Table - Night Stand:

Wardrobe, Large:

Wardrobe, Small:

Would you like your car shipped?
Please note year, make and model

Would you need your household goods in storage?

(First 30 days of storage are free of charge and redelivery is free as well)

Some questions you may have:

Would you like a full packing service?
Yes No

Please indicate the # of boxes your estimating on having:(approx)

Box Small
Box China
Box Md
Box Lg
Box XL
Box Wardrobe

Your Sales Representative name:

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