Title:
Mr.
Mrs.
Ms.
*
First Name:
*
Last Name:
*
E-Mail:
I'm Moving To:
I'm Moving From:
*
Country:
Choose Country
U.S.A.
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Barbuda
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Bosnia-Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada - English
Canada - Francais
Cape Verde
Cayman Islands
Chad
Channel Islands
Chile
China
Colombia
Congo - Brazzaville
Congo, The Republic
Cook Islands
Costa Rica
Croatia
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea Bissau
Guinea
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar/Burma
Namibia
Nepal
Netherlands Antilles
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saba
Saipan
San Marino
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Somalia
South Africa
South Korea
Spain
Sri Lanka
St. Barthelemy
St. Croix
St. Eustatius
St. Kitts and Nevis
St. Lucia
St. Martin
St. Thomas
St. Vincent
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tanzania
Thailand
Togo
Tortola
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis & Futuna
Yemen
Yugoslavia
Zambia
Zimbabwe
*
State:
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
CA - California
CO - Colorado
CT - Connecticut
DC - D.C. Washington
DE - Delaware
FL - Florida
GA - Georgia
GU - Guam
HI - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Louisiana
ME - Maine
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
WV - West Virginia
WI - Wisconsin
WY - Wyoming
*
City:
*
Zip Code:
I'm Moving To:
*
Country:
Choose Country
U.S.A.
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Barbuda
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Bosnia-Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada - English
Canada - Francais
Cape Verde
Cayman Islands
Chad
Channel Islands
Chile
China
Colombia
Congo - Brazzaville
Congo, The Republic
Cook Islands
Costa Rica
Croatia
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea Bissau
Guinea
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar/Burma
Namibia
Nepal
Netherlands Antilles
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saba
Saipan
San Marino
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Somalia
South Africa
South Korea
Spain
Sri Lanka
St. Barthelemy
St. Croix
St. Eustatius
St. Kitts and Nevis
St. Lucia
St. Martin
St. Thomas
St. Vincent
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tanzania
Thailand
Togo
Tortola
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis & Futuna
Yemen
Yugoslavia
Zambia
Zimbabwe
*
State:
AK - Alaska
AL - Alabama
AR - Arkansas
AZ - Arizona
CA - California
CO - Colorado
CT - Connecticut
DC - D.C. Washington
DE - Delaware
FL - Florida
GA - Georgia
GU - Guam
HI - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Louisiana
ME - Maine
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
WA - Washington
WV - West Virginia
WI - Wisconsin
WY - Wyoming
*
City:
*
Zip Code:
*
Apartment Size:
Studio
1 Bedroom
2 Bedroom
3 Bedroom
4 Bedroom
5 Bedroom
6 Bedroom
7 Bedroom
Private House
Storage
*
Daytime Phone:
-
Work
Home
Cell
Ext.
*
Evening Phone:
-
Work
Home
Cell
Ext.
Cell Phone:
-
*
Estimated Move Date:
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2006
2007
2008
Item
CF
Quantity
Item
CF
Quantity
Item
CF
Quantity
Bar, Portable
15
Fireplace Equipment
5
Sofa, 2 Cushions
35
Bench, Fireside or Piano
5
Foot Stool
2
Sofa, 3 Cushions
50
Bookcase
20
Lamp, Floor or Pole
3
Sofa, 4 Cushions
60
Bookshelves, sectional
5
Magazine Rack
2
Sofa, Sectional, per sect.
30
Chair, Arm
10
Music Cabinet
10
Stereo
20
Chair, Occasional
15
Piano, Baby Gr. or Upr.
70
Stud, Couch and Hideabed
50
Chair, Overstuffed
25
Piano, Parlor Grand
80
Tables, Dropl'f Occas.
12
Chair, Rocker
12
Piano, Spinet
60
Tables, Coffee, End or Nest
5
Chair, Straight
5
Radio, Table
2
Telephone Stand and Chair
5
Clock, Grandfather
20
Record Player Port.
2
Television Combination
25
Day Bed
30
Rugs, Large Roll or Pad
10
Television or Radio Console
15
Desk, Small or Winthrop
22
Rugs, Small Roll or Pad
3
Television Table Model
10
Desk, Secretary
35
Dining Room
Item
CF
Quantity
Item
CF
Quantity
Item
CF
Quantity
Bench, Harvest
10
Chair, Dining
5
Tea Cart
10
Buffet
30
Server
15
Rugs, Large Roll or Pad
10
Cabinet, Corner
20
Table Dining
30
Rugs, Small Roll or Pad
3
Cabinet, China
25
Bedrooms
Item
CF
Quantity
Item
CF
Quantity
Item
CF
Quantity
Bed, Incl. Spring and Mattr.
Please select below
Bureau, Dresser, Chest of Drawers
25
Dresser, Double (Mr. & Mrs.)
50
Bed, Double
60
Cedar Chest
15
Night Table
5
Bed, King Size
70
Chair, Boudoir
10
Rugs, Large Roll or Pad
10
Bed, Single or Hollywood
40
Chair, Straight or Rocker
5
Rugs, Small Roll or Pad
3
Bed, Rollaway
20
Chaise Lounge
25
Vanity Dresser
20
Bed, Bunk (set of 2)
70
Desk, Small or Winthrop
22
Wardrobe, Small
20
Bookshelves
5
Dresser of Vanity Bench
3
Wardrobe, Large
40
Nursery
Item
CF
Quantity
Item
CF
Quantity
Item
CF
Quantity
Bassinette
5
Chest
12
Pen, Play
10
Bed, Youth
30
Chest, Toy
5
Rugs, Large Roll or Pad
10
Chair, Childs
3
Crib, Baby
10
Rugs, Small Roll or Pad
3
Chair, High
5
Table, Child
5
Kitchen
Item
CF
Quantity
Item
CF
Quantity
Item
CF
Quantity
Breakfast, Suite Chairs
5
Kitchen Cabinet
30
Table
5
Breakfast Table
10
Roaster
5
Utility Cabinet
10
Chair, High
5
Serving cart
15
Vegetable Bin
3
Ironing Board
2
Stool
3
Appliances
Item
CF
Quantity
Item
CF
Quantity
Item
CF
Quantity
Air Conditioner
30
Ironer or Mangle
12
Dehumidifier
10
Range, Electric or Gas
30
Dishwasher
20
Refrigerator,
Please select below
Dryer, Electric or Gas
25
6 Cubic Feet or less
30
Freezer, Cu. Capacity
Please select below
7 to 10 Cubic Feet
45
10 Cubic Feet or less
30
11 Cubic Feet or More
60
11 to 15 Cubic Feet
45
Vacuum Cleaner
5
16 Cubic Feet and Up
60
Washing Machine
25
Porch, Outdoor Furniture and Equipment
Item
CF
Quantity
Item
CF
Quantity
Item
CF
Quantity
Barbecue or Port. Grill
10
Lawn Mower, Power
15
Rocker, Swing
15
Bath, Bird
5
Lawn Mower, Riding
35
Roller, Lawn
15
Chairs, Lawn
5
Leaf Sweeper
5
Rug, Large
7
Chairs, Porch
10
Outdoor Childs Slide
10
Rug, Small
3
Clothes, Line
5
Outdoor Childs Gym
20
Sand Box
10
Clothes, Dryer Rack
5
Outdoor Drying Racks
5
Settee
20
Garden Hose and Tools
10
Outdoor Swings
30
Spreader
1
Glider or Settee
20
Picnic Table
20
Table
10
Ladder, Extension
10
Picnic Bench
5
Umbrella
5
Lawn Mower, Hand
5
Porch Chair
10
Wheel Barrow
8
Miscellaneous
Item
CF
Quantity
Item
CF
Quantity
Item
CF
Quantity
Ash or Trash Can
7
Fan
5
Sewing Machine
10
Basket (Clothes)
5
Fernery or Plant Stands
10
Sled
2
Bicycle
10
Foot Lockers
5
Step Ladder
5
Bird Cage and Stand
5
Garbage Cans
7
Suitcase
5
Card Table
1
Golf Bag
2
Table, Utility
5
Cabinet, Filing
20
Heater, Gas or Electric
5
Tackle Box
1
Carriage, Baby
20
Incinerator
10
Tool Chest
10
Chairs, Folding
1
Metal Shelves
5
Tricycle
5
Clothes, Hamper
5
Ping Pong Table
20
Wagon, Child's
5
Cot, Folding
10
Pool Table
40
Waste Paper Basket
2
Desk, Office
30
Power Tools
20
Work Bench
20
Boxes
Small
1.5
Large
6
Picture
5
Medium
3
Wardrobe
15
Dish Pack
10
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