Title:
First Name:
Last Name:
E-Mail:
I'm Moving To:
I'm Moving From:
Country:
State:
City:  
Zip Code:  
I'm Moving To:
Country:
State:
City:  
Zip Code:  
 
Apartment Size:
Daytime Phone:
- Ext.
Evening Phone:
- Ext.
  Cell Phone:
-
Estimated Move Date:
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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