Company Name:
Current Address -  Street:
City, State, Zip Code:
What Floor?   Elevator: Yes    No 
Final Destination - Street:
City, State, Zip Code:
What Floor?   Elevator:  Yes    No
Additional Stops - Street:
City, State, Zip Code:
What Floor?   Elevator:  Yes    No
Estimated Date of Move:
Contact:
Business Phone: 
Other Phone:   (if applicable)
E-Mail Address:

 

 
Please mark the NUMBER of each of the items listed below you will need moved.
DESKS:
  Flat   "L" Shape   Computer   Credenza
  Computer with Hutch     Other
BOOKCASES:
  Large   Medium   Small   With Hutch
TABLES:
  Conference   Lunch   Coffee   End
  Any Glass   Other     (Describe:  )
MISC:
  Trash Cans   Floor Mats   Bulletin Bd.   Water Cooler
  Hat Racks   Plants (Lg.)   Plants (Med.)   Plants (Small)
FILE CABINETS: 
  Legal (5 Drawer)   Lateral (5 Drawer)
  Legal (4 Drawer)   Lateral (4 Drawer)
  Legal (3 Drawer)   Lateral (3 Drawer)
  Legal (2 Drawer)   Any Fireproof
SHELVES / CABINETS:
  Large   Medium   Small   Storage
  Safe (Regular)   Safe (Fireproof)
  Other   (Describe: )
OFFICE FURNITURE:
  Sofa   Loveseat    Ottomans   Pictures (Lg)
  Pictures (Md)   Pictures (Sm)   Chairs
  Other   (Describe: )
APPLIANCES:
  Coffee Machine   Microwave
  Coke Machine   Refrigerator
  Other   (Describe: )
OFFICE EQUIPMENT:
  Facsimile   Computers
  Printer   Typewriters
  Copier (Large)   Copier (Small)
  Copier (Med)   Copier Stand
  Typing Stands   Printer Stand
  Other   (Describe: )
BOXES:
  One man size (40# or less)   Two man size (40# - 60#)
  Miscellaneous
 
Will any of the above items need disassembly or assembly?  Yes      No
 If so, state which pieces  
If there are any items you will need us to move that are not included in the above inventory, please describe the items below.
Please describe any items listed above that have GLASS or MARBLE (please list each item then describe whether it has glass or marble).