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Details
First Name
Last Name
E-mail
Phone
Moving From
Address
City
Postal Code
Type
Appartment
House
Condiminium
Office
Other
# of Rooms in House
Living Room, Office, Garage, Shed, etc.
# of Bedrooms
1 Bedroom
2 Bedroom
3 Bedroom
4 Bedroom
Other
Your Belongings
KS Mattress
Sofa
QS Mattress
Love Seat
DB Mattress
Living Room Chair
SB Mattress
Coffee Table
Dresser
End Tables
Night Stand
Lamps
Desk
Entertainment Unit
Desk Chair
TV
Computer
Pool Table
File Cabinet
Piano
Washer/Dryer
Both
Washer
Dryer
Plants
Fridge/Stove
Both
Fridge
Stove
Large Boxes
Freezer
Small Boxes
Dishwasher
Yes
No
Ladder
Microwave
Wheel Barrow
China Cabinet
Garden Equipment
Table
Barbeque
Chairs
Patio Table
Paintings
Patio Chairs
Mirrors
Lawn Mower
Moving To
Address
City
Postal Code
Type
Appartment
House
Condiminium
Office
Other
# of Bedrooms
1 Bedroom
2 Bedroom
3 Bedroom
4 Bedroom
Other
Moving Date
Choose Your Date
Additional Notes
Spam Control
*
Associates
Better Business Bureau
Code Sphere
London Chamber of Commerce
ReForest London
Sprint Delivery Service Inc.
September 2010
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