Moving From:

*Name:

Address:

*City,State, Zip:

Work Phone:

*Home Phone:

*E-Mail Address:

Preferred Response:

Moving To:

Name:

Address:

*City, *State, Zip:

Work Phone:

Home Phone:

E-Mail Address:

Preferred Response:

General Items

Item

Quantity

Item

Quantity

Item

Quantity

Bar, Portable

Desk, Small

Sofa, Sectional, per sect.

Bookcase

Desk, Secretary

Stereo

Bookshelves, sectional

Foot Stool

Sofa, Sleeper

Chair, Arm

Lamp, Floor or Pole

Cofee Table

Chair, Occasional

Music Cabinet

End Table

Chair, Overstuffed

Piano, Baby Gr. or Upr.

TV 19"-26"

Chair, Rocker

Rugs, Large

TV 27"-32"

Chair, Straight

Rugs, Small

TV 32"-40"

Clock, Grandfather

Loveseat

TV 40" +

Day Bed

Sofa

Dining Room

Item

Quantity

Item

Quantity

Item

Quantity

Bench

Chair, Dining

Tea Cart

Buffet

Server

Rugs, Large Roll or Pad

Corner Cabinet

Table Dining

Rugs, Small Roll or Pad

China Cabinet

Bedrooms

Item

Quantity

Item

Quantity

Item

Quantity

Bed, Incl. Spring and Mattress

Chest of Drawers

Dresser, Double (Mr.  & Mrs.)

Bed, Single/Double

Cedar Chest

Night Table

Bed, Queen

Chair, Boudoir

Rugs, Large Roll or Pad

Bed, King

Chair, Straight or Rocker

Rugs, Small Roll or Pad

Bed, Bunk

Chaise Lounge

Vanity Dresser

Bookshelves

Desk, Small or Winthorp

Wardrobe, Small

Wardrobe, Large

Nursery

Item

Quantity

Item

Quantity

Item

Quantity

Bassinette

Chest

Play Pen

Toddler Bed

Toy Chest

Child’s Chair

Baby Crib

High Chair

Child Table

Kitchen

Item

Quantity

Item

Quantity

Item

Quantity

Breakfast, Suite Chairs

Ironing Board

Stool

Breakfast Table

Kitchen Cabinet

Table

Chair, High

Serving cart

Appliances

Item

Quantity

Item

Quantity

Air Conditioner

Range, Electric or Gas

Dehumidifier

Dishwasher

Refrigerator, 

Dryer, Electric or Gas

6 Cubic Feet or less

Freezer, Cu. Capacity 

7 to 10 Cubic Feet

10 Cubic Feet or less

11 Cubic Feet or More

11 to 15 Cubic Feet

Vacuum Cleaner

16 Cubic Feet and Up

Washing Machine

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 Childs Gym

Table

Garden Hose and Tools

Outdoor Drying Racks

Umbrella

Ladder, Extension

Outdoor Swings

Miscellaneous

Item

Quantity

Item

Quantity

Item

Quantity

Trash Can

Fan

Sewing Machine

Basket (Clothes)

Foot Lockers

Step Ladder

Bicycle

Golf Bag

Suitcase

Card Table

Metal Shelves

Table, Utility

Cabinet, Filing

Pool Table

Tool Chest

Chairs, Folding

Power Tools

Waste Paper Basket

Desk, Office

Work Bench

Boxes

Small

Large

Picture

Medium

Wardrobe

Dishpak

Comments

Time Frame For Moving?