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Quote Form - LONG

*ALL FIELDS REQUIRED

First Name Last Name
Email Phone
Best time to contact you?
Estimated Move Date
How did you find our Website?
Type of Service
Estimated move weight
       
Moving From: Moving To:
       
City City
State State
Zip Code Zip Code
Elevator: Yes No

Elevator: No
If Walk Up,
Enter #of Floors:
If Walk Up,
Enter # of Floors:


*Enter the quantity of each item in the section next to the item name.
LIVING ROOM ITEMS
Chair(Recliner):
Cabinet(Small):
Piano(Upright):
Chair(Straight):
Cabinet(Large):
Organ:
Chair(Rocker):
Cabinet(Curio):
Piano Bench:
Chair(Overstuffed):
Cabinet(Music):
Grandfather Clock:
Chair(Arm/Swivel):
Entertainment Center:
Coat Rack:
Ottoman:
Stereo Console:
Fireplace Equipment:
Chair(Occasional):
Stereo Components:
Magazine Rack:
Footstool:
Speakers:
Rug or Pad(Small):
Bookshelves:
VCR:
Rug or Pad(Large):
Sofa(Sectional)Sections:
TV(Portable):
Floor Lamp:
Sofa(Love Seat):
TV(Big Screen):
Pole Lamp:
Sofa(Hide-a-Bed-Queen):
TV Stand:
Table Lamp:
Sofa(Hide-a-Bed):
TV(Console):
Benches:
Sofa(3 Cushion):
TV(Combination):
Occasional Table:
Sofa(4 Cushion):
Coffee Table:
End Table:
Sofa(Rattan/Wicker):
Lamp Table:
Desk:
Bar Stool:
Portable Bar:

Bed Frame:
Night Table:
 
Bed Headboard:
Bed Footboard:
 
Bed(Single):
Bed(Roll-a-way):
 
Bed(Queen):
Bed(Double):
 
Bed(Bunk):
Bed(King):
 
Day Bed:
Bed(Water):
 
Chest of Drawers:
Bookshelves/Sections:
 
Chest(Armoire):
Cedar Chest:
 
Dresser(Single):
Dresser(Vanity):
 
Dresser(Triple):
Dresser(Double):
 
Desk:
Futon:
 

DINING ROOM ITEMS
Buffet (Base):
Buffet(Top):
   
Cabinet(China):
Cabinet(Corner):
   
Chair(Dining):
Hutch:
   
Dining Table:
Table Leaf:
   
Tea Cart:
Bench:
   

Baby Carriage:
Bassinet:
   
Bed(Youth):
Car Seat:
   
Chair(Child's):
Table(Child's):
   
Changing Table:
Toy Chest:
   
Chest:
Crib:
   
Playpen: Stroller:    

Baker's Rack:
Serving Cart:
   
Breakfast Table:
Breakfast Chair:
   
High Chair:
Butcher Block:
   
Freezer:
Dishwasher:
   
Kitchen Cabinet:
Pie Saver:
   
Microwave Oven: Range(30"):    
Range(36"):
Trash Compactor:
   
Refrigerator(6 ft3 or less): Stool:    

Clothes Hamper:
Basket:
   
Clothes Dryer Rack:
Dryer(Electric):
   
Dryer(Gas):
Washing Machine:
   
Ironing Board:
Vacuum Cleaner:
   
Utility Cabinet:
Bookshelves:
   

Bookcase:
Computer:
   
Computer Desk:
Computer Printer:
   
Copier:
Credenza:
   
Office Desk:
Office Chair:
   
Filing Cabinet(2-3 Drawer):
Filing Cabinet(4-5 Drawer):
   
Lateral File(2 Drawer): Lateral File(4 Drawer):    
  Table:    

Chair(Plastic):
Chair(Aluminum):
   
Chair(Wood):
Chair(Metal):
   
Chaise Lounge:
Chair(Porch):
   
Glider/Settee:
Outdoor Swings:
   
Garden Hose:
Bench:
   
Leaf Sweeper: Shelves:    
Table(Outdoor): Picnic Table:    
  Canopy:    

Bicycle:
Bicycle(Exercise):
   
Bowling Bag/Ball:
Exercise Equipment:
   
Golf Bag:
Health Rider:
   
Home Gym:
Ping Pong Table:
   
Pool Table(Composite):
Pool Table(Slate-disassembled only):
   
Rowing Machine: Stair Climber:    
Skis: Sled:    
Weight Bench: Weights:    
Tackle Box: Gun Cabinet:    
Basketball Goal: Ice Chest:    

Bird Cage:
Cabinet Metal:
   
Card Table:
Folding Chair:
   
Cooler:
Cot Folding:
   
De-Humidifier:
Dolly:
   
Fan:
Footlocker:
   
Ladder(Step): Hammock:    
Power Tools: Power Tool Stand:    
Radio:
Saw Horse:
   
Sewing Machine(Portable):
Sewing Machine(Cabinet):
   
Shelves(Metal):
Shelves(Wooden):
   
Stand:
Suitcase:
   
Table Saw:
TV Tray Set(4):
   
Toolbox: Tool Chest:    
Trash Can: Trunk:    
Wagon: Waste Basket:    
Work Bench:
   

Dish Pack:
1.5 Cubic Foot:
   
Book Box:
3 Cubic Foot:
   
4.5 Cubic Foot:
6 Cubic Foot:
   
6.5 Cubic Foot:
Lamp Shade Carton:
   
Wardrobe Carton:
Mirror/Picture Carton:
   
   

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©2009 Akamai Movers