AVALON Moving | Services

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Name (First & Last): *
Home Ph*
Day Ph.
Work Ph
Email:
Approximate Moving Date: *
Zip Code - Moving from *
Flights of stairs? *
Zip Code- Moving to: *
Flights of stairs? *
Zip Code for extra stop, if any:
Flights of stairs?
Do you require packing services?
Do you require unpacking services?

* required fields

Items you don't have please leave blank

Living Room
article		article	#	article	#
Sofa		Loveseat		Hide-a-bed or Reclining Sofa
Sofa Pit Group (No. of pieces)		Arm Chair		Recliner
Rocker		Ottoman		Coffee Table
End Table		Sofa Table		Futon
Etagers		Entertainment Center		Wall Unit Pieces
Bigscreen TV		TV, Console		TV, Portable
TV Stand		Stereo Pieces		Stereo, Portable
Speakers		Stereo Cabinet		Other(specify)
Other(specify)		Other(specify)

Dining Room
article	#	article	#	article	#
Dining Table		Dining Chairs		Bar Stools
China Cabinet		Curio Cabinet		Buffet
Side Board		Cart		Other(specify)
Other(specify)		Other(specify)		Other(specify)

Kitchen
article	#	article	#	article	#
Microwave		Microwave Stand		Refrigerator
Freezer		Washer		Dryer
Baker's Rack		Other(specify)		Other(specify)

Bedrooms
article	#	article	#	article	#
King Size Bed		Queen Size Bed		Full Size Bed
Twin Size Bed		Headboard/ Footboard		Bridge Bed
Water Bed		Bunk Bed		Day Bed
Baby Crib		Dresser		Chest of Drawers
Vanity		Night Stand or Lamp Table		Mirrors
Clothes, (per Foot)		Trunk		Cedar Chest
Footlocker		Armoire		Other(specify)
Other(specify)		Other(specify)		Other(specify)

Office
article	#	article	#	article	#
Bookcase		Desk, Secretary or Writing		Desk, Office or Roll Top
Hutch		Credenza		File Cabinet, Large
File Cabinet, Small		Table or Folding Table		Chair, Small
Computer Pieces		Stand		Other(specify)
Other(specify)		Other(specify)		Other(specify)

Boxes and Misc. Items
article	#	article	#	article	#
Boxes Sealed (one-man)		Boxes Sealed (two-man)		Glass Top
Mirrors		Picture, Large		Picture, Small
VCR		Chair, Small		Fans
Lamps		Vacuum Cleaner		Ironing Board
Piano, upright		Bench		Grandfather Clock
Plants		Sewing Mach		Aquarium
Stand		Suit Cases		Bike/Ex. Bike
Exercise Mach		Treadmill		Weight Bench
Weights (pounds)		Patio Table		Patio Chairs
BBQ Grill, (large)		BBQ Grill. (small)		Lawn Mower
Other(specify)		Other(specify)		Other(specify)

Please list mirrors, glasstops,
and marble tops item:

Please List Questions or Comments:

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phonebook internet other
if other, specify

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