CUSTOMER INFORMATION:
Company Name:
Current Address - Street:
City, State, Zip Code:
What Floor:
Elevator?:
Yes No
Final Destination Address - Street:
City, State, Zip Code:
What Floor:
Elevator?:
Yes No
Stairs?:
Yes No
Additional Stops - Street:
City, State, Zip Code:
What Floor:
Elevator?:
Yes No
Stairs?:
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
MISC:
Trash Cans
Floor Mats
Bulletin Bd.
Watercooler
Hat Racks
Plants(Lg.)
Plants(Med.)
Plants(Sm.)
FILE CABINETS:
Legal (5 Drawer)
Lateral (5 Drawer)
Legal (4 Drawer)
Lateral (4 Drawer)
Legal (3 Drawer)
Lateral (3 Drawer)
Legal (2 Drawer)
Lateral (2 Drawer)
SHELVES/CABINETS:
Large
Medium
Small
Storage
Safe(regular)
Safe(fireproof)
Other (desc)
OFFICE FURNITURE:
Sofa
Loveseat
Ottomans
Pictures(Lg.)
Pictures(Md.)
Chairs
Other (desc)
APPLIANCES:
Coffee Machine
Microwave
Coke Machine
Refrigerator
Other (desc)
OFFICE EQUIPMENT:
Facsimilie
Computers
Printer
Copiers(Lg.)
Copiers(Md.)
Copiers(Sm.)
Copier Stand
Typing Stands
Printer Stand
Other (desc)
BOXES:
One man size(40# or less)
Two man size(40#-60#)
Misc
Will any of the above items need disassembly or assembly?
YesNo
If so, state which pieces.
Do any of the items above have glass or marble?
Yes No
If so, state which pieces.