Moving Date

Day 1234567891011121314151617181819202122232425262728293031

Month JANFEBMARAPRMAYJUNJULAGUSEPOCTNOVDEC

Year 201020112012

Name Phone Email Origin Address City State Zipcode

Destination Address City State Zipcode

LIVING ROOM / No Bookcase Chair Overstuffed Chair Rocker Chair Straight Credenza Ent. Center Fireplace Equip Floor Lamp Footstool/Ottoman Grandfather Clock Sofa Loveseat Sofa 3 seat Sofa Bed Sectional Sofa Pieces Table Occasional Table Coffee Table End Tv Flat and Traditional Tv Stand   DINNING ROOM / No Buffet Corner Cabinet Chair China Hutch Table Tea Cart Stool   KITCHEN / No Baker's Rack Table Chair Microwave Cabinet Stool

BEDROOM / No Armoire Bed Double Bed Bunk Bed King/Queen Bed Single Chest Cedar Lg Chest of drw Chest small/lingerie Chest of drw med Large Dresser Small Dresser Night Stand Wardrobe Rug   NURSERY / No Crib Baby Toddler Bed Changing Table Toy Box Trunk Child Chair   Office / No Bookcase Office Chair Ocassional Chair Coat Rack Computer Printer Desk File Cabinet 2dwr File Cabinet 4 dwr Ocassional Table

PATIO/GARAGE / No BBQ Grill Bicycle Uility Cabinet Patio Table Patio Chair Chaise Lounge Trunk/ Footlocker Lawnmower Umbrella Work Bench Wheelbarrow Ladder Refrigerator Freezer Washer Dryer Cartons / No Book 1.5 Medium 3.1 Large 4.5 Dishpack 5.2 X-Large 6.0 Wardrobe box Mirror / Picture Security code:   * Do not enter anything in this field: