CONTACT INFORMATION
First Name*
Last Name*
Home Phone*
-
Work Phone
-
Ext
Cell Phone
-
Fax
-
Email*
Moving Date
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
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2
3
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2010
2011
MOVING INFORMATION
Origin
Destination
City*
City*
State*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code*
Zip Code*
Please complete the Inventory sheet below. Please type the number of each item you will need moved.
LIVING ROOM
#
Article
#
Article
#
Article
Sofa
Love Seat
Recliner
Sofa Sectional
Futon
Ottoman
Armchair
Floor Lamp
Coffee Table
Sofa Table
End Table
DVD/VCR
Stereo Component
Stereo Cabinet
Musical Instrument
Plazma TV
TV (36" & up)
TV (Under 36")
TV Stand
Entertainment Center
Bookcase
Grandfather Clock
Table Lamp
Pictures
Plants
Glasstop Large
Glasstop Small
Bar
Bar Stools
Rug
Piano Baby/Upright
Piano Grand
Piano Spinet
Wall Units
BEDROOMS
#
Article
#
Article
#
Article
King Bed
Queen Bed
Twin Bed
Water bed
Day bed
Head/Foot Board
Large Dresser
Small Dresser
Chest or Drawers
Armoire
Mirror
Night Stand
Vanity
Cedar Chest
Floor Lamp
Lamp Table
Rug
Wardrobe
Futon
Book Shelves
Coat Rack
Recliner
OFFICE
#
Article
#
Article
#
Article
Large Desk
Small Desk
Executive Desk
Secretary Desk
Drawing Table
Deck Chair
Safe
File Cabinet (4 Drawer)
File Cabinet (2 Drawer)
Computer
Printer
Scanner
Fax
Desk Copier
Floor Copier
Corner Cabinet
Conference Table
Rug
DINING ROOM
#
Article
#
Article
#
Article
Dining Table
Dining Chair
Corner Cabinet
Bench/Harvest
Server
Tea Cart
Buffet Base
Buffet Top
Hutch
Curio Cabinet
Large Rug
Small Rug
Wine Rack
NURSERY
#
Article
#
Article
#
Article
Cradle
Crib
Playpen
High Chair
Child Chair
Child Table
Chest Toy
Child Toy
Changing Table
Stroller
Rug
Youth Bed
KITCHEN
#
Article
#
Article
#
Article
High Chair
Bkft Suite Chair
Stool
Breakfast Table
Serving Cart
Table
Kitchen Cabinet
Utility Cabinet
Microwave Oven
APPLIANCES
#
Article
#
Article
#
Article
Large Air Cond/Wind
Small Air Cond/Wind
Dehumidifier
Washing Machine
Dryer
Vacuum Cleaner
Washer/Dryer Combo
Gas/Elec. Heater
Eliptical Machine
20" Wide Range
30" Wide Range
36" Wide Range
2-door Refrigerator
Refrigerator
Small Refrigerator
Freezer
Dishwasher
Trash Compactor
PATIO/PORCH
#
Article
#
Article
#
Article
Patio Chair
Patio Table
Patio Umbrella
Patio Set (5 piece)
Lounge Chair
Barbeque Grill
Large Bench
Small Bench
Stackable Chair
Large Ladder
Small Ladder
Outdoor Swing
Trampoline
Yard Equipment
Lawnmower
MISCELLANEOUS
#
Article
#
Article
#
Article
Aquarium-10 Gal
Aquarium-20 Gal
Aquarium-55 Gal
Bicycle
Fern/Plant Stands
Fan
Plastic Bin
Large Mirror
Small Mirror
Ping Pong Table
Pool Table
Game Table
Card Table
Baby Carriage
Drop-Leaf Table
Pictures Poster
Wall Shelves
Sewing Machine
Footlockers
Metal Shelves
Toolchest
Sled
Tire
Jacuzzi
Golf Bag
Bowling Ball/Bag
Saddle
Basket (Clothes)
Clothes Hamper
Ironing Board
Tackle Box
Power Tool Stand
Rug
Artificial Plant
Pottery
Weight Bench
Sideboard
Screen/Folding
Child's Wagon
BOXES
#
Article
#
Article
#
Article
Large Box
Medium Box
Small Box
Dish-pack
Picture/Mirror Box
TV box
Wardrobe Box/Large
Wardrobe Box/Small
Book Box
China Box
OTHER
Additional Items, Special Instructions, Questions or Concerns About Your Move
Capital Moving Solutions © 2010
PUCO #:
153607-HG
US DOT #:
1403001
ICC # MC:
539323
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