Name*             Phone*              Move Date

    Email               

    Moving From 

    Moving To     

    Please select the number of items to be moved in each room.  Note that not all items must have a value selected.

RECEPTION AREA

                WAITING CHAIR                            0 1 2 3 4 5 >5                                                   END TABLE                             0 1 2 3 4

                COFFEE TABLE                              0 1 2 3 4                                                     COMPUTER                            0 1 2 3 4 >5

                PRINTER                                          0 1 2 3 4 >5                                                            PRINTER STAND                   0 1 2 3 4 >5

                COAT RACK                                   0 1 2 3 4                                                     RECEPTION DESK                 0 1 2 3 4

                OFFICE CHAIR                               0 1 2 3 4 >5

OFFICE

                DESK-sml/single                               0 1 2 3 4 >5                                                   DESK-lg/ 1pc                            0 1 2 3 4 >5

                DESK-2pc                                        0 1 2 3 4 >5                                                   DESK-3pc                                0 1 2 3 4 >5

                OFFICE CHAIR                               0 1-5 6-10 11-15 16-20 >20                                              SIDE CHAIR                             0 1 2 3 4

                FILE CAB-2drwr                              0 1 2 3 4                                                    FILE CAB-4drwr                       0 1 2 3 4

                TABLE LAMP                                  0 1 2 3 4                                                    COMPUTER PRINTER             0 1 2 3 4

                PRINTER STAND                           0 1 2 3 4  

MODULAR FURNITURE

                WALL PANELS                              0 1-10 11-20 21-30 31-40 41-50 >50                                             DESK-UNIT PIECES                0 1-10 11-20 21-30 31-40 41-50 >50

                CORNER DESKS                           0 1-10 11-20 21-30 31-40 41-50 >50                                             LIGHT UNITS                            0 1-10 11-20 21-30 31-40 41-50 >50

                FILE CABINET                               0 1-10 11-20 21-30 31-40 41-50 >50

CONFERENCE ROOM

                CONFERENCE TABLE                  0 1 2 3 4                                                    CHAIRS                                     0 1-5 6-10 11-15 16-20 >20

                PHONE STAND                               0 1 2 3 4                                                    TV/VCR                                    0 1 2 3 4

                FILE CABINET                               0 1 2 3 4                  

FILES

                FILE CAB-2drwr                              0 1 2 3 4 >5                                                     FILE CAB-4drwr                    0 1 2 3 4 >5

                FILE-lateral 2                                    0 1 2 3 4 >5                                                     FILE-lateral 4                          0 1 2 3 4 >5

                FIRE FILE-2drwr                               0 1 2 3 4 >5                                                     FIRE FILE-4drwr                    0 1 2 3 4 >5

                LETTER FILE CABINET                 0 1 2 3 4 >5                                                     TABLE                                    0 1 2 3 4 >5

                CHAIR                                               0 1 2 3 4 >5

COPY AREA

                COPY MACHINE                            0 1 2 3 4                                                     TABLE TOP CPY MACH.      0 1 2 3 4

                TABLE                                              0 1 2 3 4                                                     CHAIR                                     0 1 2 3 4

                FAX MACHINE                               0 1 2 3 4                                                     FAX MACHINE STAND        0 1 2 3 4

                LETTER FILE CABINET                 0 1 2 3 4                                                     BOOKCASE                             0 1 2 3 4

LOUNGE

                MICROWAVE                                0 1 2 3 4                                                      MICROWAVE CART              0 1 2 3 4

                REFRIGERATOR                            0 1 2 3 4                                                      TABLE                                       0 1 2 3 4 >5

                CHAIRS                                           0 1 2 3 4 >5                                                    COUCH                                    0 1 2 3 4 >5

BOXES

                SMALL  1-3 cu ft                            0 1-10 11-20 21-30 31-40 41-50 >50                                                 MEDIUM  3-5 cu ft                 0 1-10 11-20 21-30 31-40 41-50 >50

                LARGE  +5 cu ft                               0 1-10 11-20 21-30 31-40 41-50 >50                                                 BOOK BOX                           0 1-10 11-20 21-30 31-40 41-50 >50

                PICTURE BOX                               0 1-10 11-20 21-30 31-40 41-50 >50

OTHER ITEMS

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