General Information
Your First Name: Last Name:
Your Email Address:
Living Room Furniture & Electronics
Regular Sofas
Qty:
Notes:
has built-in recliner(s)
Love Seats
Qty:
has built-in recliner(s)
Sofabeds
Qty:
Notes:
Sectional Sofas
Pcs:
Notes:
Futons & Futon/Sofas
Qty:
Notes:
Upholstered Chairs and Recliners
Qty:
Notes:
Ottomans
Qty:
Occasional Chairs
Qty:
Rocking Chairs
Qty:
Pappasan Chairs
Qty:
w/Ottoman
Coffee & Sofa Tables
Qty:
Notes:
Mention glass tops (if any)
End & Side Tables
Qty:
Notes:
Mention glass tops (if any)
Torch & Floor Lamps
Qty:
Notes:
Table Lamps
Qty:
Must be boxed if fragile
Flat Screen TVs
Qty:
Screen Size(s):
Regular Tube TVs
Qty:
Screen Size(s):
Projection TVs
Qty:
Screen Size(s):
Entertainment Centers
Pcs:
Needs Disassembly
Has Glass
Televisions Stands
Qty:
Notes:
Has Glass
Cabinet-Type and Floor Speakers
Qty:
Notes:
Stereo Cabinets
Qty:
Has Glass
Pianos
Qty:
N/A
Spinnet
Mid-Back Upright
High-Back Upright
Baby Grand
Concert Grand
Framed Prints
Qty:
Notes:
Objects D'Art
Qty:
Notes:
Tri-Fold Screens
Qty:
Coat Racks
Qty:
Area (Floor) Rugs
Qty:
Sizes:
Runner Rugs
Qty:
Artificial Plants and Trees
Qty:
Notes:
Live Potted Plants
We do not move live potted plants
Bedroom Furniture
First Bed: Check All Pieces (Leave Blank or Chk N/a to omit)
N/A
Queen
Full
Twin
King
Matrs
Box Spring
HdBd
FtBd
Metal Frame
Platfrm Frame
N/a
2nd Bed: Check All Pieces (Leave Blank or Chk N/a to omit)
N/A
Queen
Full
Twin
King
Matrs
Box Spring
HdBd
FtBd
Metal Frame
Platfrm Frame
N/a
Third Bed: Check All Pieces (Leave Blank or Chk N/a to omit)
N/A
Queen
Full
Twin
King
Matrs
Box Spring
HdBd
FtBd
Metal Frame
Platfrm Frame
N/a
Dressers and Bureaus
Qty:
Sizes:
with detachable mirror(s)
Armoires
Qty:
Sizes:
Nightstands and Bedside Tables
Qty:
Notes:
Vanity Tables
Qty:
w/Chair
w/Mirror
Trunks and Foot Lockers
Qty:
Do not load with heavy items
Full-Length Mirrors
Qty:
Wall-Mounted Mirrors
Qty:
Cribs and Changing Tables
Qty:
Notes:
Baby Strollers
Qty:
Child's Desks and Chairs
Qty:
Toys and Other Children's Items
Briefly Describe Type & Quantity:
Dining Room Furniture
Dinette Set
No. Chairs:
Has Glass Top
Table Description:
China Cabinets
Qty:
Pieces:
Credenzas
Qty:
Sizes:
Bars
Qty:
Notes:
Tea Carts
Qty:
Kitchen Furniture & Small Appliances
Kitchen Table and Chairs
No. Chairs:
Has Glass Top
Table Description:
Microwave Carts
Qty:
Sizes:
Microwaves and Convection Ovens
Qty:
Bakers Racks
Qty:
Wine Racks
Qty:
Folding Chairs
Qty:
Bar Stools
Qty:
Vacuum Cleaners
Qty:
Portable Fans
Qty:
Space Heaters
Qty:
Sizes:
Air Conditioners
Qty:
Size/BTUs:
Other Small Kitchen Appliances
Qty:
Notes:
If Boxed Separately, List Under Boxes Below
Office Furniture & Equipment
First Computer Desk or Office Desk (Leave Blank to Omit)
N/A
Regular
Corner
L/U-Shape
Needs Disassembly
w/Hutch Top
Notes:
Office Chairs
Qty:
Other Office and Rolltop Desks
Qty:
Notes:
Large Book Shelves
Qty:
Sizes:
Medium Book Shelves
Qty:
Sizes:
Small Book Shelves
Qty:
Sizes:
Wall-Mounted Shelves
Qty:
Computer Systems
Qty:
Notes:
Computer Monitors
Qty:
Sizes:
Printers and Fax Machines
Qty:
If Boxed Separately, List Under Boxes Below
Large File Cabinets
Qty:
Sizes:
Small File Cabinets
Qty:
Sizes:
Other Office Equipment
Qty:
Notes:
Boxes, Crates & Containers
Please choose the statement from the following list that best describes how you arrived at the list of boxes, crates and containers you've given in this section:
A Rough Guess
An Estimate Based on the Number of Boxes and Bags from My Last Move
A Close Approximation that Should be More or Less Correct
Right Now I Can't Even Say but I Know There Will Be Quite a Few
An Exact Number
I Won't Have Any Boxes
Tubs & Crates, Large
Qty:
5 cu. ft.
Tubs, Medium
Qty:
3 cu. ft.
Tubs, Small
Qty:
1 cu. ft.
Boxes, Wardrobe
Qty:
Boxes, X-Lg.
Qty:
6 cu. ft.
Boxes, Large
Qty:
4.5 cu. ft.
Boxes, Medium
Qty:
3 cu. ft.
Boxes, Small
Qty:
1.5 cu. ft.
Boxes, File Folder
Qty:
Boxes, Picture
Qty:
Full Size Suitcases
Qty:
Carry-On Luggage
Qty:
Duffle Bags
Qty:
Garment Bags
Qty:
Knapsacks
Qty:
Briefcases
Qty:
Hampers & Baskets
Qty:
Pet Carriers, Cages and Kitty Condos
Qty:
Type:
Please Note: We Do Not Move Live Animals or Fish
Aquariums and Terrariums
Qty:
Size(s):
Has Stand
Major Appliances
Refrigerators
Qty:
Size & Weight:
Freezers
Qty:
Size & Weight:
Stoves
Qty:
Dishwashers
Qty:
Washers
Qty:
Notes:
Driers
Qty:
Notes:
Dehumidifiers
Qty:
Capacity:
Sporting Equipment
Exercise Machines
Qty:
Notes:
Bicycles
Qty:
Sets Of Golf Clubs
Qty:
Skis
Qty:
Notes:
Weight Sets
Total Weight (lbs):
w/Bench
Patio Furniture, Outdoor Items & Misc.
Patio Sets
Qty:
Notes:
Barbecue Grills
Qty:
Notes:
Lawnmowers
Qty:
Notes:
Snowblowers
Qty:
Notes:
Ladders
Qty:
Notes:
Power Tools
Qty:
Notes:
Hoses and Garden Tools
Qty:
Notes:
Other