FREE ESTIMATE First Name: Home Phone: Last Name: Work Phone: E-mail: Cell Phone: Approximate Moving Date: -- Month -- January February March April May June July August September October November December -- Day -- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 -- Year -- 2008 2009 How did you FIRST hear about us: Moving From: Address 1: Address 2: City: -- State -- MD VA DC WV Zip Code: House     Townhouse Walk-Up Apartment/Condo Elevator Apartment Storage/Warehouse If ground level: Number of feet from where we can park the truck to the unit's door: If elevator unit: Floor Number: Number of feet from where we can park the truck to the loading dock: Number of feet from the elevator door to the unit's door: Moving To: Address 1: Address 2: City: -- State -- MD VA DC WV Zip Code: House     Townhouse Walk-Up Apartment/Condo Elevator Apartment Storage/Warehouse If ground level: Number of feet from where we can park the truck to the unit's door: If elevator unit: Floor Number: Number of feet from where we can park the truck to the loading dock: Number of feet from the elevator door to the unit's door: FAMILY AND LIVING ROOMS Sofa, loveseat Sofa, 3 seat Chair, overstuffed/rocker Chair, overstuffed Chair, straight Table, occasional Table, coffee Table, end Bookcase 3'x4' Bookcase 3'x6' Component-electronic Credenza Desk, large/office Desk, small Entertainment Center Footstool/Ottoman Piano, grand Piano, small upright Rug, area 5'x7' Rug, rm size 9'x12' Speaker Stereo, cabinet TV, stand TV, table model TV, wide screen BASEMENT, GARAGE, PATIO, AND SHED BBQ Grill Bicycle Cabinet, utility Chair patio Chaise lounge Exerciser Footlocker/trunk Garden hose/tool Glider Ladder, step Lawn Mower Shelves, utility Swing set Table, patio Umbrella Wheelbarrow/spreader Workbench KITCHEN AND DINING ROOMS Table, dining Table, kitchen Chair, dining/kitchen China Base China Top Buffet Baker's Rack Cabinet, corner High Chair Hutch Microwave Microwave Stand Server Stool Rug, area 5'x7' Rug, rm size 9'x12' Tea Cart UTILITY ROOM Dryer Freezer Refrigerator Washing Machine OFFICE Bookcase, 3'x4' Bookcase, 3'x6' Chair, desk Chair, occasional Chair, rocker Coat rack Computer Copier, desktop Credenza Desk, secretary/Office Desk, small Entertainment Stand Fax, desktop File cabinet, 2 drw File cabinet, 4 drw Printer Scanner, flatbed BEDROOMS Dresser, large Dresser, small Chest, large Chest, medium Armoire Bed, double Bed, king/queen Bed, single Nightstand Table, occasional Bed, bunk Bookcase, 3'x4' Bookcase, 3'x6' Chair, rocking Chair, overstuffed Chair, straight Changing Table Chest, cedar Chest small/lingerie Crib Desk Entertainment stand Rug, area 5'x7' Rug, rm size 9'x12' Toy Box FRAGILES Aquarium Art object 2' plus Glass Top Lamp, floor Lamp, table Mirror 3'x3' Picture 3'x3' MISCELLANEOUS One can carry Two ppl must carry Boxes already packed Boxes to be packed

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