Moving Checklist CHECKLIST Name : E-Mail Phone : Alt. Phone : Fax : Zip (Orig) : Address (Destination) : Address (Origin) : Approximate Distance (Orig - Dest) In Miles : : Zip (Dest.) Anticipated Move Date : --PLEASE ENTER QUANTITIES IN THE BOXES NEXT TO THE ITEMS BELOW THAT YOU WOULD LIKE FOR US TO MOVE-- LIVING ROOM Sofa : Sectional (each piece) : Entertainment Center(each piece) : Ottoman, Footstool : Television 27-36" : Audio/Video Components : Loveseat : Futon : Bookcase : Coffee or End Table : Small TV 8-26" : Lamp or Picture : Hide-a-bed : Keyboard/Stand : TV Stand : DINING ROOM Dining or Kitchen Table : Buffet or Server : Dining Chairs or Barstools : China Cabinet(each piece) : KITCHEN Stove or Oven ** : Microwave : Refrigerator or Freezer** : Microwave Stand : Washer or Dryer** : BEDROOM Bed (King or Queen)** : Bunk Bed** : Head Board : Mirror (Detached)** : Nightstand : Linear Ft. of Clothes (Hanging) : Bed (Full)** : Waterbed** : Foot Board : Chest of Drawers : Trunk or Chest : Bed (Twin)** : Trundle Bed** : Dresser : Armoire (Empty) : Crib, Changing Table** : Small Desk : OFFICE Office or Roll-Top Desk : Credenza : File Cabinet (Fire Proof) : Copier : Computer Components** : Desk Extension** : File Cabinet (2 Drawer) : Conference Table : Computer Table : Desk Chair : File Cabinet (4 Drawer) : Drafting Table : Hutch : MISCELLANEOUS Boxes Over 50lbs (each) : Glass Shelves : Large Plant : BBQ Grill or Bicycle : Vanity : Curio Cabinet : Boxes Under 50lbs (each) : Marble Tops : Small Plant : Patio Furniture (Each Piece) : Lawn Mower : Etagere/Baker's rack : Glass Tops : Area Rugs : Hall Tree : Ironing Board or Vaccum : Metal Shelves : Sewing Machine : Any Items Not Listed Above (Items listed here will not be reflected in quote price) : Do you need our movers to disassemble/disconnect and reassemble/reconnect any of the items marked above with ** ? Use the box below to let us know. (There is additional cost for this service that will not be reflected in this quote) : Do any of these circumstances apply to your move Stairs at Origin? (enter # of flights) : Stairs at Destination? (enter # of flights) : How did you hear about us? : Google Friend Social media Any Comments or Questions?