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Contact info:
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* First name:
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* Last name:
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* E-mail address:
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* Home phone:
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Work phone:
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Fax:
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* Best time to contact you:
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Estimated move date:
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* How did you find our website?
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Moving From:
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Moving To:
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Address:
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Address:
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City:
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City:
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State:
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State:
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ZIP:
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ZIP:
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Country:
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Country:
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Size of apartment:
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Studio
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Size of apartment:
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Studio
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Elevator:
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Yes No
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Elevator:
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Yes No
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# of floors
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# of floors
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Will you need: Packing Unpacking Storage
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Type Of Service:
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Living room
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Sofa
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Loveseat
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Occasional chair
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Recliner chair
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Ottoman
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Coffee table
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End table
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Entertainment center, Large
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Rug
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Piano upright
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Piano baby grand
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Exercise machine, large
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Entertainment center, small
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Curio cabinet
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Stereo cabinet
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TV Stand
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Dining room & Kitchen
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Dining table
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Kitchen table
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Dining/kitchen chairs
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China cabinet
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Buffet
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Microwave
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Microwave cart
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Bedroom:
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King size bed
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Queen size bed
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Double/full size bed
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Single/twin size bed
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Bunk bed
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Futon
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Single dresser
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Double dresser
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Triple dresser
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Armoire
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Wardrobe cabinet
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Night stand
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Crib
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Changing table
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Appliances & Electronics:
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Exercise machine, small
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Skis
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Golf bag
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Power tools
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Large refrigerator
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Small refrigerator
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Freezer
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Stove
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Dishwasher
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Washer
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Dryer
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Heater
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Air conditioner
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Vacuum cleaner
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TV regular
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TV big screen
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Computer
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Printer
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Fan
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VCR/DVD
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Stereo components
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Large speakers
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Outdoors:
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Patio table
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Patio chair
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Umbrella
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Misc. garden tools
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Snow blower
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Edger
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Push lawn mower
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Bicycle
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Misc:
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Toy chest
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Lamp
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Floor lamp
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Mirror
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Picture
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Tool chest
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Sewing machine cabinet
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Suitcase
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Boxes: Estimated number of boxes to be moved
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Items of extraordinary value:
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Comments:
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