Free Estimate

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Name
Address
City
State
Zip
Home Phone
Business Phone
E-mail
Fax
Date of Move
Location moving to

 

Do you live in an:

Apartment House
If apartment, what floor?

 

Rooms - check all that apply

Living Room
Dining Room
Office
Family Room / Den
Basement
Shed
Workshop
Garage
Patio
Number of Bedrooms

 

Other Items

Grandfather Clock
Riding Mower
Washer
Dryer
Refrigerator
Piano
Type of Piano

 

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