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P.O. Box 86699 North Vancouver BC Canada V7L 4L2

 

(   )  Request  for Written Estimate     (    )  Inventory  for Booked Order Only #___________________
Today's Date: _______________             Approximate Moving Date: _________________________
How did you FIRST hear about us:____________________________________________________
Your Name:______________________________ E-Mail Address:___________________________
Mailing Address:__________________________________________________________________
Home Phone (       )______________Work Phone (       )______________ FAX (       )______________

Moving From (Choose One):              
City:_________________________
(  ) House
(  ) Townhouse
(  ) Walk-Up Apartment/Condo    Floor_________
      #/feet from where we can park the truck to the unit's door_______________
(  ) Elevator Apartment
      #/feet from where we can park the truck to the loading dock____________________
      #/feet from the elevator door to the unit's door______________________________
(  )  Storage/Warehouse                 Floor_________
      If ground floor, #/feet from where we can park the truck to the unit's door__________
      If elevator unit, #/feet from where we can park the truck to the loading dock________
      #/feet from the elevator door to the unit's door______________________________

Moving To (Choose One):                 City:_________________________
(  ) House
(  ) Townhouse
(  ) Walk-Up Apartment/Condo     Floor_________
      #/feet from where we can park the truck to the unit's door_______________________
(  ) Elevator Apartment
      #/feet from where we can park the truck to the loading dock_____________________
      #/feet from the elevator door to the unit's door_______________________________
(  )  Storage/Warehouse                  Floor_________
      If ground floor, #/feet from where we can park the truck to the unit's door___________
      If elevator unit, #/feet from where we can park the truck to the loading dock_________
      #/feet from the elevator door to the unit's door_______________________________

Household Goods Descriptive Inventory
 Instructions: Please enter the number of each type of item within each room.
 If an item is not listed, it can be entered on a blank line.

Living Room
____ Bookcase, Small ____ Fireplace Equipment ____ Table, Coffee
____ Bookcase, Large ____ Footstool ____ Table, End
____ Cabinet, Curio ____ Hall Tree ____ TV <19"
____ Chair, Straight ____ Lamp, Table ____ TV >19"
____ Chair, Arm ____ Lamp, Floor ____ TV, Big Screen
____ Chair, Rocker ____ Magazine Rack ____ Wicker Item, Small.
____ Chair, Occasional ____ Music Cabinet ____ Wicker Item, Large
____ Chair, Overstuffed ____ Rug, Small ____ Art Glass, Small
____ Chest, Small ____ Rug, Large ____ Art Glass, Large
____ Chest, Large ____ Sofa, Loveseat ____ Misc. Item, Small
____ Clock, Grandfather ____ Sofa, 3 Cushion ____ Misc. Item, Large
____ Day Bed ____ Sofa, 4 Cushion / Sleeper ____ Carton, Small
____ Desk, Small ____ Stereo / VCR Component ____ Carton, Large
____ Desk, Large ____ Table, Drop Leaf / Occasional ____ Carton, Wardrobe
____ ______________________ ____ ______________________ ____ ______________________
Dining Room
____ Bench, Harvest ____ Art / Glass, Small ____ Rug, Small
____ Buffet, Base ____ Art / Glass, Large ____ Rug, Large
____ Cabinet, China Hutch, Top ____ Misc. Item, Small ____ Wicker Item, Small
____ Cabinet, China/One Piece ____ Misc. Item, Large ____Wicker Item, Large
____ Cabinet, Curio ____ Carton, Small ____ ______________________
____ Cabinet, Corner ____ Carton, Large ____ ______________________
____ Dining Table ____ Server ____ ______________________
____ Dining Chair ____ Tea Cart ____ ______________________
Master Bedroom
____ Bed, Single ____ Chest, Bachelor / Lingerie ____ Table, Coffee
____ Bed, Double / Full ____ Chest, Cedar ____ Table, End
____ Bed, Queen ____ Chest ____ TV < 19"
____ Bed, King ____ Desk, Small ____ TV > 19"
____ Bed, Waterbed ____ Desk, Large ____ TV, Big Screen
____ Bed, Bunk ____ Dresser, Vanity ____ Wicker Item, Small
____ Bed Frame Only ____ Dresser, Single ____ Wicker Item, Large
____ Bedwall, Queen ____ Dresser, Double ____ Art/Glass, Small
____ Bedwall, King ____ Dresser, Triple ____ Art/Glass, Large
____ Bookcase, Small ____ Night Stand ____ Misc. Item, Small
____ Bookcase, Large ____ Rug, Small ____ Misc. Item, Large
____ Chair, Small ____ Rug, Large ____ Carton, Small
____ Chair, Large ____ Wardrobe / Armoire, Small ____ Carton, Large
____ Chair, Rocker ____ Wardrobe / Armoire, Large ____ Carton, Wardrobe
____ ______________________ ____ ______________________ ____ ______________________
Bedroom
____ Bed, Single ____ Chest, Bachelor/Lingerie ____ Table, Coffee
____ Bed, Double/Full ____ Chest, Cedar ____ Table, End
____ Bed, Queen ____ Chest ____ TV < 19"
____ Bed, King ____ Desk, Small ____ TV > 19"
____ Bed, Waterbed ____ Desk, Large ____ TV, Big Screen
____ Bed, Bunk ____ Dresser, Vanity ____ Wicker Item, Small
____ Bed Frame Only ____ Dresser, Single ____ Wicker Item, Large
____ Bedwall, Queen ____ Dresser, Double ____ Art/Glass, Small
____ Bedwall, King ____ Dresser, Triple ____ Art/Glass, Large
____ Bookcase, Small ____ Night Stand ____ Misc. Item, Small
____ Bookcase, Large ____ Rug, Small ____ Misc. Item, Large
____ Chair, Small ____ Rug, Large ____ Carton, Small
____ Chair, Large ____ Wardrobe/Armoire, Small ____ Carton, Large
____ Chair, Rocker ____ Wardrobe/Armoire, Large ____ Carton, Wardrobe
____ ______________________ ____ ______________________ ____ ______________________
Bedroom
____ Bed, Single ____ Chest, Bachelor/Lingerie ____ Table, Coffee
____ Bed, Double/Full ____ Chest, Cedar ____ Table, End
____ Bed, Queen ____ Chest ____ TV < 19"
____ Bed, King ____ Desk, Small ____ TV > 19"
____ Bed, Waterbed ____ Desk, Large ____ TV, Big Screen
____ Bed, Bunk ____ Dresser, Vanity ____ Wicker Item, Small
____ Bed Frame Only ____ Dresser, Single ____ Wicker Item, Large
____ Bedwall, Queen ____ Dresser, Double ____ Art / Glass, Small
____ Bedwall, King ____ Dresser, Triple ____ Art / Glass, Large
____ Bookcase, Small ____ Night Stand ____ Misc. Item, Small
____ Bookcase, Large ____ Rug, Small ____ Misc. Item, Large
____ Chair, Small ____ Rug, Large ____ Carton, Small
____ Chair, Large ____ Wardrobe / Armoire, Small ____ Carton, Large
____ Chair, Rocker ____ Wardrobe / Armoire, Large ____ Carton, Wardrobe
____ ______________________ ____ ______________________ ____ ______________________
Kitchen
____ Baker's Rack ____ Art / Glass, Small ____ Table
____ Chair ____ Art / Glass, Large ____ TV < 19"
____ Chair, High ____ Misc. Item, Small ____ TV > 19"
____ Ironing Board ____ Misc. Item, Large ____ Wicker Item, Small
____ Kitchen Cabinet ____ Carton, Small ____ Wicker Item, Large
____ Microwave Oven ____ Carton, Large ____ Stool
____ Serving Cart ____ Carton, Dish Pack ____ ______________________
Office/Den
____ Bookcase, Small ____ Desk, Small ____ Wicker Item, Small
____ Bookcase, Large ____ Desk, Large ____ Wicker Item, Large
____ Chair, Small ____ Electronic Component, Misc. ____ Misc. Item, Small
____ Chair, Large ____ File, 2 Drawer ____ Misc. Item, Large
____ Computer, Monitor ____ File, 4 Drawer ____ Art / Glass, Small
____ Computer, Printer/Processor ____ Table, Small ____ Art / Glass, Large
____ Copier, Table-Top ____ Table, Large ____ Carton, Small
____ Copier, Floor ____ Table, Typewriter ____ Carton, Large
____ Credenza ____ Wastepaper Basket ____ ____________________
____ ______________________ ____ ______________________ _________________________
Nursery
____ Bassinette ____ Table, Child's ____ Table, Child's
____ Bed, Youth ____ Table ____ Table
____ Chair, Child's ____ Wicker Item, Small ____ Wicker Item, Small
____ Chair, High ____ Wicker Item, Large ____ Wicker Item, Large
____ Chair, Rocker ____ Art/Glass, Small ____ Art/Glass, Small
____ Chest, Small ____ Art/Glass, Large ____ Art/Glass, Large
____ Chest, Large ____ Misc. Item, Small ____ Misc. Item, Small
____ Chest, Toy ____ Misc. Item, Large ____ Misc. Item, Large
____ Crib, Baby ____ Carton, Small ____ Carton, Small
____ Dresser, Small ____ Carton, Large ____ Carton, Large
____ Dresser, Large ____ Carton, Wardrobe ____ Carton, Wardrobe
____ Playpen ____ Rug, Small ____ Rug, Large
____ ______________________ ____ ______________________ ____ ______________________
Family Room
____ Bookcase, Small ____ Fireplace Equipment ____ Table, Coffee
____ Bookcase, Large ____ Footstool ____ Table, End
____ Cabinet, Curio ____ Hall Tree ____ TV, <19"
____ Chair, Straight ____ Lamp, Table ____ TV, >19"
____ Chair, Arm ____ Lamp, Floor ____ TV, Big Screen
____ Chair, Rocker ____ Magazine Rack ____ Wicker Item, Small.
____ Chair, Occasional ____ Music Cabinet ____ Wicker Item, Large
____ Chair, Overstuffed ____ Rug, Small ____ Art Glass, Small
____ Chest, Small ____ Rug, Large ____ Art Glass, Large
____ Chest, Large ____ Sofa, Loveseat ____ Misc. Item, Small
____ Clock, Grandfather ____ Sofa, 3 Cushion ____ Misc. Item, Large
____ Day Bed ____ Sofa, 4Cushion/Sleeper ____ Carton, Small
____ Desk, Small ____ Stereo/VCR Component ____ Carton, Large
____ Desk, Large ____ Table, Drop Leaf / Occasional ____ Carton, Wardrobe
____ ______________________ ____ ______________________ ____ ______________________
Basement
____ Bookcase, Small ____ Fireplace Equipment ____ Table, Coffee
____ Bookcase, Large ____ Footstool ____ Table, End
____ Cabinet, Curio ____ Hall Tree ____ TV <19"
____ Chair, Straight ____ Lamp, Table ____ TV >19"
____ Chair, Arm ____ Lamp, Floor ____ TV, Big Screen
____ Chair, Rocker ____ Magazine Rack ____ Wicker Item, Small.
____ Chair, Occasional ____ Music Cabinet ____ Wicker Item, Large
____ Chair, Overstuffed ____ Rug, Small ____ Art Glass, Small
____ Chest, Small ____ Rug, Large ____ Art Glass, Large
____ Chest, Large ____ Sofa, Loveseat ____ Misc. Item, Small
____ Clock, Grandfather ____ Sofa, 3 Cushion ____ Misc. Item, Large
____ Day Bed ____ Sofa, 4Cushion/Sleeper ____ Carton, Small
____ Desk, Small ____ Stereo/VCR Component ____ Carton, Large
____ Desk, Large ____ Table, Drop Leaf / Occasional ____ Carton, Wardrobe
____ ______________________ ____ ______________________ ____ ______________________
Misc. Inside Items
____ Barbells ____ Fern / Plant Stand ____ Ping Pong Table
____ Basket, Clothes ____ Foot Locker ____ Pool Table
____ Bicycle/Tricycle ____ Game Table ____ Pool Table, Slate
____ Bowling Ball/Bag ____ Heater, Gas/Electric ____ Table, Utility
____ Card Table ____ Sewing Machine, Portable ____ Tablesaw
____ Chair ____ Sewing Machine, Console ____ Tool Chest, Small
____ Chair, Folding ____ Sewing Machine, Cabinet ____ Tool Chest, Medium
____ Clothes Hamper ____ Suitcase ____ Tool Chest, Large
____ Cot, Folding ____ Wastepaper Basket ____ ______________________
____ Fan ____ Workbench, Small ____ ______________________
Misc. Outside Items
____ BBQ Grill, Small ____ Outside Child Slide ____ Tackle Box
____ BBQ Grill, Large ____ Outside Child, Gym ____ Tire
____ Chair, Aluminum ____ Outside Child, Swings ____ Trash Can
____ Chair, Metal ____ Outdoor Drying Racks ____ Wagon, Child's
____ Chair, Wood ____ Picnic Table ____ Workbench
____ Garden Hose/Tools ____ Picnic Bench ____ Wicker Item, Small
____ Glider/Settee ____ Roller, Lawn ____ Wicker Item, Large
____ Ladder 6' ____ Rug, Small ____ Art/Glass, Small
____ Ladder 8' ____ Rug, Large ____ Art/Glass, Large
____ Ladder/Extension ____ Sand Box ____ Misc. Item, Small
____ Lawnmower, Push ____ Sled ____ Misc. Item, Large
____ Lawnmower, Power ____ Spreader ____ Carton, Small
____ Lawnmower, Rider ____ Table, Small ____ Carton, Large
____ Leaf Sweeper ____ Table, Large ____ Ornamental Statue
Bulky Articles/Appliances
Appliances Pianos/Organs Miscellaneous
____ Air Conditioner, Small ____ Spinet Piano < 38" ____ ______________________
____ Air Conditioner, Large ____ Console Piano 38" to 46" ____ ______________________
____ Dehumidifier ____ Studio Upright Piano 46" to 54"  ____ ______________________
____ Dishwasher ____ Upright Piano > 54" ____ ______________________
____ Freezer, Chest ____ Upright Grand Piano ____ ______________________
____ Freezer, Upright ____ Upright Player Piano ____ ______________________
____ Range ____ Upright Player Grand Piano ____ ______________________
____ Refrigerator, Upright ____ Baby Grand Piano < 6' ____ ______________________
____ Refrigerator, Side By Side ____ Grand Piano > 7' ____ ______________________
____ Trash Compactor ____ Spinet Organ ____ ______________________
____ Washing Machine ____ Console Organ ____ ______________________
____ Dryer ____ Grand Organ ____ ______________________

Remarks / Other Locations:________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

Total Number of Rooms: _________
Total Number of Pieces: _________
Total Number of Cartons:  _________