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Name *:
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Preferred method of contact:
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Phone Number*:
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Your Email*:
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Move Date*:
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Pick-up Address (Origination)*:
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Origination (Stairs/Elevator/Long Walks):
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Origination Flight of Stairs:
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Delivery Address: (Destination)*:
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Destination (Stairs/Elevator/Long Walks):
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Destination Flight of Stairs:
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Living Room/Family Room
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Furniture/Item
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Quantity
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Furniture/Item
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Quantity
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Sofa
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Entertainment Center
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Sofa w/ reclining
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Bookcases
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Sectional Sofa/# of pieces
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TV (Small/Under 25")
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Recliner
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TV (Large)
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Loveseat
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Stereo Components (disconnected)
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Ottoman
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TV Stand
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Hide-A-Bed/Futon
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Stereo Speakers (disconnected)
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Occasional Chairs
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Stereo Cabinet
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Coffee/Sofa Table
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Piano (Upright)
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End Tables
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Wall Unit/Pieces
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Dining Room
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Furniture/Item
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Quantity
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Furniture/Item
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Quantity
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Dining Table
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China Cabinet
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Dining Chairs
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Buffet/Sideboard/Server
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Kitchen/Utility Room
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Furniture/Item
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Quantity
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Furniture/Item
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Quantity
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Kitchen Table
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Bakers Rack/Shelf unit
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Kitchen Chair
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Washer (Disconnected)
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Barstools
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Dryer (Disconnected)
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Refrigerator/Freezer
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Vacuum Cleaner
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Microwave
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Ironing Board
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Microwave Cart
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Bedroom
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Furniture/Item
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Quantity
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Furniture/Item
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Quantity
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King Bed
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Mirror (Standing/Wall)
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Queen Bed
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Bunk Bed/Daybed
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Bed (Full, Twin, Day)
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Lingerie Chest
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Headboards and/or footboards
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Chest of Drawers
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Dresser
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Armoire
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Dresser w/ mirror
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Night Stand
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Office
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Furniture/Item
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Quantity
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Furniture/Item
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Quantity
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Computer
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Credenza
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Office Chairs
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File Cabinet (4-drawer)
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Desk (Office/Rolltop)
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File Cabinet (2-drawer)
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Desk (Secretary)
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Printer/Fax
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Desk (multi-piece)
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Others
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Furniture/Item
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Quantity
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Furniture/Item
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Quantity
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Lamps
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Patio Furniture
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Pictures
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BBQ Grill
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Glass Table Tops
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Lawn Mower
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Plants (Large)
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Hedge/Weed Trimmers
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Trunk/Chest
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Boxes (Wardrobe)- Customer Supplies
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Bicycles
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Boxes (Wardrobe)- Movers Supply
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Kids Toys
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Boxes (Under 50 lbs)
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Exercise Equipment
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Boxes (Over 50 lbs)
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Miscellaneous
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Furniture/Item
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Quantity
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Furniture/Item
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Quantity
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Comments:
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