• Todays Date * Please select todays date.
• Name * Please enter the contact name for this move
• Email Address * Please enter a valid email address
• Home Phone * Please enter your home phone number (primary phone)
• Cell Phone Please enter your cell phone number (if different than above)
• Work Phone Please enter your work phone number.
• City (Moving From) * Please enter the City you are moving from.
• City (Moving To) * Please enter the city you are moving to.
• Date of move * Please enter the date you plan to move
• Size of move * Please tell us the approximate size of your move.1 Bedroom Apt.2 Bedroom Apt.3 Bedroom Apt.Small House (2-3 Bedrooms)Large House (4-6 Bedrooms)Mansion (6 or more Bedrooms)Small OfficeLarge Office Distance to loading & unloading area (approx.) * Please tell us the approximate size of your move. 0-25 Feet25-50 Feet50-75 Feet75-100 Feet100-125 Feet125-150 FeetMore than 150 Feet
• If you would rather skip the following, simply scroll to the bottom of the
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  Quantity     Description
• 012345678910Appliances (Dishwasher, Dryer, Freezer, Refrigerator, Stove, Washer)
• 012345678910Barbecue grills (Portable Grill and Propane)
• 012345678910Beds - Large (King or Water bed)
• 012345678910Beds - Small (Single, Double, Queen or Day Bed)
• 012345678910Bicycles
• 012345678910Bookcase, China cabinet, or Hutch (per movable section)
• Boxes - Small (One person can carry)
• Boxes - Large (Two person can carry)
• 012345678910Chairs - Small (Bar Stool, Dining, Wooden Rocker or Lawn Chair)
• 012345678910Chairs - Large (Overstuffed or Arm Chair)
• 012345678910Chair - Recliner
• 012345678910Clothes (Per 3' of closet rod)
• 012345678910Desk - Large (Office or Roll Top)
• 012345678910Desk - Small (Secretary or Writing)
• 012345678910 Dressers (Chest of Drawers, High Boy, Mirror Back)
• 012345678910 Entertainment Center (Credenza or Armoire)
• 012345678910File Cabinet
• 012345678910Foot locker, Cedar chest, or Trunk
• 012345678910Foot stool or Ottoman
• 012345678910Garbage can or Trash cans
• 012345678910Lamp (Floor, Pole or table lamps)
• 012345678910Microwave Oven
• 012345678910Plants - Small (8" pot or under)
• 012345678910Plants - Large (10" pot or larger)
• 012345678910Sewing Machine
• 012345678910Stereo (Cabinet or Console)
• 012345678910Stereo (Per component or speakers)
• 012345678910Sofa (Pieces under 4 feet)
• 012345678910Sofa (Two cushion or Love seat)
• 012345678910Sofa (Hide-A-bed or sleeper sofa)
• 012345678910Sofa (With recliner)
• 012345678910Suitcase
• 012345678910Tables (Coffee or dining or sofa table)
• 012345678910Tables (End, night stand or card)
• 012345678910Tables (Oversize 6' or larger)
• 012345678910Television (Portable 18" or less)
• 012345678910Television (Console 19"-25")
• 012345678910Television (Console 26"-36")
• 012345678910Television (Large 36" or greater or big screen)
• 012345678910Vacuum Cleaner
• 012345678910Vanity Dresser
• 012345678910Wall Unit (Per movable section)
• Pianos, Large Safes or Other Please describe or list anything we missed here.
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