Name: * From: To: Phone: * Alt. Phone: Email: * Date you wish to move: January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2006 2007 2008 * Indicates required fields.

Appliances Fridge Stove Washer Dryer Dishwasher Freezer Microwave Piano Organ Pool / Foozeball Table Grandfather Clock Shop / Garage Lawn Mower Snow Blower Roto-Tiller Wheelbarrow Garden Tools Garden Tractor Tool Boxes Hand Tools Table Saw Radial Arm Saw Drill Press Lathe Compressor Welder Workbench Pressure Washer Bikes Sleds Outside Kids Toys Barbeque Patio furniture Dog House Exercise Equipment Ladder Boxes

Furniture Hide-a-Bed Couch Reclining Couch Loveseat Reclining Loveseat Recliner Armchair Coffee Table End Table TV / Stand Entertainment Center Stereo Kitchen Table / Chairs Dining Room Table / Chairs Buffet Hutch China Cabinet Desk Filing Cabinet Book Shelves Computer Trunks Rocking Chairs Sewing Machine Curio Cabinet Wardrobes Boxes Master Bedroom King Sized Bed Queen Sized Bed Double Bed Single Bed Futon Bunk Beds Water Bed Dresser Highboy Night Tables Hope Chest Armoire Chiffonier Wardrobe Boxes

Bedroom 2 King Sized Bed Queen Sized Bed Double Bed Single Bed Futon Bunk Beds Water Bed Crib Dresser Highboy Night Tables Hope Chest Armoire Chiffonier Wardrobe Boxes Bedroom 3 King Sized Bed Queen Sized Bed Double Bed Single Bed Futon Bunk Beds Water Bed Crib Dresser Highboy Night Tables Hope Chest Armoire Chiffonier Wardrobe Boxes

Enter anything you have that wasn't on the list in the boxes below.

If you have anything else that wasn't on the list, and will not fit in the boxes above, please call the office at (250) 832-9782 and let us know after submitting this form.