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DC
DE
FL
GA
HI
IA
ID
IL
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ND
NE
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Western Sahara
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Yugoslavia
Zaire
Zimbabwe
Country:
Select a Country
United States
Canada
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Barbuda
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia
Botswana
Bouvet Island
Brazil
British Indian Ocean Trty.
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Caicos Islands
Cambodia
Cameroon
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Futuna Islands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard
Herzegovina
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Israel
Italy
Jamaica
Jan Mayen Islands
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Korea (Democratic)
Kuwait
Kyrgystan
Lao
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mc Donald Islands
Mexico
Micronesia
Miquelon
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
Neutral Zone
Nevis
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Principe
Puerto Rico
Qactar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts
Saint Lucia
Saint Pierre
Saint Vincent
Samoa
San Marino
Sao Tome
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
The Grenadines
Tobago
Togo
Tokelau
Tonga
Trinidad
Tunisia
Turkey
Turkmenistan
Turks Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (US)
Wallis
Western Sahara
Yemen
Yugoslavia
Zaire
Zimbabwe
Move Date:
Month
Jan
Feb
Apr
May
June
July
Aug
Sept
Oct
Nov
Dec
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
2003
2004
2005
2006
2007
Move Type:
Please Select
500 - Kitchen Table & Chairs
1000 - Dining Room Set
1500 - Small Studio
2000 - Large Studio
5000 - 1 to 2 Bedroom Apt
7500 - Large Apt or Small House
10000 - 2 to 3 Bedroom House
15000 - 3 to 4 Bedroom House
20000 - Large House
Storage:
(Check if needed)
Customer Information
*
Full Name:
*
E-mail:
*
Home Phone:
Work Home:
Fax:
Best time to
contact you:
AM
PM
Additional Comments:
Quick Inventory Sheet
Instructions: Please enter the number of items you will be moving in the white boxes next to the item.
*Please remember this is only an estimate, here to give a general idea of the size of your move.
Living Room
Sofa
Love Seat
Chairs
Wall Unit
Lamps
Air Conditioner
Rugs
Stereo
End Table
Coffee Table
Cabinets/Console
Book Case
Desk
Television
Piano
None
- Spinet
- Upright
- Baby Grand
- Grand
Bedrooms
Bed
Dresser
Armoire
Chest
Mirror
Night Table
Chairs
Book Shelf
Wardrobe
Vanity
Vanity Bench
Rug
Kitchen
Table
Chairs
Stool
Baker's Rack
Butcher Block
Kitchen Cabinet
Refrigerator
Microwave
Washer/Dryer
Dining Room
Dining Table
China Cabinet
Stool
Buffet
Hutch
Rugs
Boxes and Miscellaneous
Small Boxes
Medium Boxes
Large Boxes
Wardrobe Boxes
Pictures