Name:

Move Date:

Type of Move:
Self Pack Partial Pack Full Pack

Please fill in number of each item to be moved.
LIVING ROOM
Sofa
Loveseat
Hide a Bed
Sectional
Large Chairs
Piano / Organ
Ent. Center
Book Cases

KITCHEN
Refridgerator
Stove
Freezer
Washer/Dryer
Microwave

BEDROOMS
KG/QN Bed
Twin Bed
Bunk Beds
Water Bed
Mirrors



OFFICE
Desk
Desk Extension
Desk Chair
2 DR Filing Cabinet
4 DR. Filing Cabinet
Fire Proof Cabinet
Conference Table
Copier
Computer
Bookcases
Credenza
Safe

Phone Number:

Moving From :

Moving To:

Stereo
Ottoman
Portable TV
Big Screen TV
TV Stand
Lamps
Pictures/Mirrors
Coffee/End Tables

DINING ROOM
Dining Table
Chairs/Bar Stools
China Cabinet
Buffet/Server
Bakers Rack

Dresser
Chest of Drawers
Armoire
Cedar Chest
LG. Chairs
Clothes

MISC.
Boxes - SM
Boxes - MED
Boxes - LG
Glass Tops/Shelves
Marble Tops
Area Rugs
LG Plants
Sewing Machines
Pool/Game Tables
Weight Sets
Patio Furniture
Bar B Q - LG / SMALL
Tools / Equipment