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Personal Info

*Full Name: *Home Phone:
*Email: *Cell Phone:

Preferred Response: Work Phone:
*Moving Date:(dd/mm/yy)

Moving From

Destination

*Address: *Address:
*City: *City:
*State: *State:
*Zip *Zip:

Living Room

               
Item Quantity   Item Quantity   Item Quantity
Bar, Portable

  Desk, Small

  Stereo

Bookcase Large

  Desk, Secretary

  Coffee Table

Bookcase Small

  Foot Stool

  End Table

Bookshelves, Large

  Lamp, Floor or Pole

  Flat Screen TV 21"-41"

Bookshelves, Small

  Stereo Cabinet

  Flat Screen TV 42"-47"

Chair, Arm

  Piano, Baby Grand

  Flat Screen TV 48"-55"

Chair, Lounge

  Piano, Grand

  Flat Screen TV 55"-60

Chair, Overstuffed

  Piano, Upright

  TV Projector

Chair, Rocker

  Bench, Piano

  Tub/Console TV

Chair, Straight

  Carpet, Large- 8X10

  TV stand

Recliner

  Carpet, Small

  Entertainment Center: Small

Clock, Grandfather

  Loveseat

  Entertainment Center: Reg.

Day Bed

  Sofa, 3 Seat

  Entertainment Center: Large

Chair, Office

  Sofa, 4 Seat

     
Picture Frames

  Sofa, Sectional

     
Ottoman

  Sofa, Sleeper

     
      Floor Lamp

     
      Table Lamp

     
               
               

Dining Room

             
               
Item Quantity   Item Quantity   Item Quantity
               
Bench

  Chair, Dining

  Tea Cart

Buffet Base

  Server

  Rugs,Carpet Large 8X10

Corner Cabinet

  Table Dining

  Rugs, Carpet Small

China Cabinet 1 Piece

  Wine Rack

  Drop Leaf

China Cabinet 2 Piece

  Glass Top for Dining Table

     
Hutch

           
Glass Top

           
               
               

Bed Room

             
               
Item Quantity   Item Quantity   Item Quantity
               
Bed, Canopy

  Chest of Drawers: Small

  Dresser, Single

Bed, Twin

  Chest of Drawers: Med.

  Dresser, Double

Bed, Queen

  Chest of Drawers: Large

  Dresser, Triple

Bed, King

  Cedar Chest

  Night Table

Bed, Bunk

  Chair, Boudoir

  Rugs, Large Roll or Pad

Bed, Trundle

  Chair, Rocker

  Rugs, Small Roll or Pad

Bed, Double

  Chaise Lounge

  Vanity Dresser

Futon

  Desk, Small or Winthrop

  Wardrobe, Small

Foot Board

  Table Lamp

  Wardrobe, Large

Head Board

  Wardrobe Closet: Small

  Mirror Large

Hamper

  Wardrobe Closet: Med.

  Mirror Small

      Wardrobe Closet: Large

  Armoire: Small

      Book Shelves

  Armoire: Medium

            Armoire: Large

            Safe, Small

               

Nursery

             
               
Item Quantity   Item Quantity   Item Quantity
               
Bed, Toddler

  Chest, Toy

  Play Pen

Chair, Child

  Crib, Baby

  Changing Table

Chair, High

  Table, Child

  Baby Swing

Chair Rocking

  Toy Box

  Stroller

Foot Stool

        Diaper Pail

               

Kitchen:

             
               
Item Quantity   Item Quantity   Item Quantity
               
Chair, Kitchen

  Kitchen Cabinet

  Stool

Kitchen Table

  Serving Cart

  Butcher Board

Garbage Can

  Water Cooler

  Bakers Rack

Small Kitchen Table

           
               
               

Appliances

             
               
Item Quantity   Item Quantity   Item Quantity
               
Air Conditioner

 

Range / Stove



  Microwave: Small

Dehumidifier

  Refrigerator: Small

  Microwave: Medium

Dishwasher

  Refrigerator: Medium

  Microwave: Large

Freezer: Small

  Refrigerator: Large

  Washing Machine

Freezer: Medium

  Refrigerator: Extra Large

  Combo Washer & Dryer

Freezer: Large

  Refrigerator: Side by Side

  Dryer

      Refrigerator: Upright

     
      Refrigerator: Dormitory

     
               

Porch, Outdoor Furniture and Equipment

               
Item Quantity   Item Quantity   Item Quantity
               
Barbecue or Port. Grill

  Lawn Mower, Push

  Picnic Table

Chairs, Lawn

  Lawn Mower, Riding

  Rocker, Swing

Chairs, Patio

  Outdoor Drying Racks

  Umbrella

Garden Hose and Tools

  Outdoor Swings

  Spreader

Ladder

  Leaf Sweeper

  Snow Blower

Wheelbarrow

  Shed

     
               

Miscellaneous

             
Item Quantity   Item Quantity   Item Quantity
               
Trash Can

  Fan

  Sewing Machine

Card Table

  Foot Lockers

  Step Ladder

Cabinet, Filing

  Golf Bag

  Suitcase

Chairs, Folding

  Metal Shelves

  Table, Utility

Vacuum

  Pool Table

  Tool Chest

Tool Box, Large

  Power Tools

  Waste Paper Basket

Tool Box, Small

  Ironing Board

  Work Bench

Bicycle, Child

           
Bicycle, Adult

           
               
               

Boxes:

             
Item Quantity   Item Quantity   Item Quantity
               
Small

  Plastic bins: Small

  Wardrobe Box

Medium

  Plastic bins: Medium

  Picture Box

Large

  Plastic bins: Large

  TV Box

               

Office:

             

 

             
Chair Office

  Printer Table

  Fax / Printer Machine

Computer Desk

  Desk, Double

  File Cabinet 2 Drawers

Laptop

  Desk Executive

  File Cabinet Large

Computer System

  Desk, Hutch

  File Cabinet Small

               

Additional Items

             
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Best Price Moving and Storage, Inc., Moving & Storage Company, Chicago, IL