ESTIMATE FORM
LIVING ROOM
DINING ROOM
BEDROOM
NURSERY
APPLIANCES
KITCHEN
PORCH AND OUTDOOR
MISC / BOXES
Receive Quotes from The Moving Doctor
Fill the Info Below.
*
First Name:
*
Last Name:
*
E-mail:
How did you hear about us?
Internet
Yellow Pages
Referral
Limsa
Saw Truck
Returning Customer
Other
If you know the weight or C.Feet enter here:
*
Home Phone:
Work Phone:
Contact Fax:
Best Time To Call:
Early Morning
Morning
Late Morning
Afternoon
Evening
Late Evening
Move Date:
Moving From
Moving To
Address:
*
City:
*
State, Zip:
AL
Alberta
AK
American Samoa
AZ
AR
British Columbia
CA
CO
CT
DE
DC
FL
GA
Guam
HI
ID
IL
IN
IA
KS
KY
LA
ME
Manitoba
Marshall Islands
MD
MA
Micronesia
MI
MN
MS
MO
MT
NE
New Brunswick
Newfoundland
NV
NH
NJ
NM
NY
NC
ND
Marianas Islands
Northwest Territories
Nova Scotia
Nunavut
OH
OK
Ontario
OR
Palau
PA
Prince Edward Islands
Puerto Rico
Quebec
RI
SC
SD
Saskatchewan
TN
TX
U.S Virgin Islands
UT
VT
VA
WA
WV
WI
WY
Yukon Territory
Address:
*
City:
*
State, Zip:
AL
Alberta
AK
American Samoa
AZ
AR
British Columbia
CA
CO
CT
DE
DC
FL
GA
Guam
HI
ID
IL
IN
IA
KS
KY
LA
ME
Manitoba
Marshall Islands
MD
MA
Micronesia
MI
MN
MS
MO
MT
NE
New Brunswick
Newfoundland
NV
NH
NJ
NM
NY
NC
ND
Marianas Islands
Northwest Territories
Nova Scotia
Nunavut
OH
OK
Ontario
OR
Palau
PA
Prince Edward Islands
Puerto Rico
Quebec
RI
SC
SD
Saskatchewan
TN
TX
U.S Virgin Islands
UT
VT
VA
WA
WV
WI
WY
Yukon Territory
Comments
|
List Inventory Items (optional) >>
LIVING ROOM
Bar - Portable
Bench - Fireside or Piano
Bookcase
Bookshelves - Sect.
Cabinet- Curio
Chair- Straight
Chair- Rocker
Chair- Occasional
Chair- Overstuffed
Chest - Cedar
Clock - Grandfather
Day Bed
Desk- SM/Winthrop
Desk- Secretary
Fireplace Equip.
Footstool
Hall Tree Rack
Hall Tree Large
Lamp - Floor
Lamp - Pole
Magazine Rack
Music Cabinet
Piano - Baby Gr./Upr.
Piano - Parlor Gr.
Piano - Spinet/Console
Radio - Table
Rec. Player- Port.
Rugs- Lg. Roll/Pad
Rugs- Sm. Roll/Pad
Sofa- Rattan/Wicker
Sofa- Sec.- Per Sec.
Sofa- Loveseat
Sofa- 3 Cushion
Sofa- Hide- 4 Cush.
Stereo Component
Stereo- Console
Tables - Dropl/Occas
Tables - Coffee
Tables - End
Telephone Stand
TV - Portable
TV - Table Model
TV - Console
TV - Combination
TV - Stand
Trunk
1 pc wall unit
2 pc wall unit
3 pc wall unit
Bookcase - sectional
Chair - Arm
Chesterfield - 2 Cushions
Chesterfield - 3 Cushions
Chesterfield - Hide-A-Bed
Chesterfield - Day Bed
Desk - Secretary
Phonograph - Combination
Phonograph - Hi-Fi Stereo
Phonograph - Speaker
Radio - Floor Model
Table - Davenport
Tables - Library
Tables- Gateleg
TV - Aerial
<< Back
|
|
Next >>
Update Table
DINING ROOM
Bench - Harvest
Buffet Base
Hutch Top
Cabinet- Corner
Dining Table
Dining Chair
Server
Tea Cart
Rugs- Large or Pad
Rugs- Small or Pad
Bar - Portable
Breakfront
Cor. Cabinet - Din. Buffet
Chair - Arm
Chair - Straight
China Cabinet
Server/Tea Wagon
Dinette Table
Table Extension
<< Back
|
|
Next >>
Update Table
BEDROOM
Bed Incl Sp/Matt
Bed Waterbed Base
Bed Rollaway
Bed Single/Hollywood
Bed Std/Dbl.
Bed Queen
Bed King
Bed Bunk (Set 2)
Bookshelves - Sect.
Chair- Boudoir
Chair- Str/Rocker
Chaise Lounge
Chest - Bachelor
Chest - Cedar
Chest - Armoire
Desk- SM/Winthrop
Dresser/Vanity Bch
Dresser- Vanity
Dresser- Single
Dresser- Double
Dresser- Triple
Night Table
Rug- Large or Pad
Rug- Small or Pad
Wardrobe- Small
Wardrobe- Large
Vanity and Bench
Cedar Chest
Child Crib/Desk
<< Back
|
|
Next >>
Update Table
NURSERY
Bathinette
Bed- Youth
Chair- Childs
Chair- High
Chest
Chest - Toy
Crib- Baby
Table - Childs
Playpen
Rug- Large or Pad
Rug- Small or Pad
Commode
<< Back
|
|
Next >>
Update Table
APPLIANCES
Air Cond/Wind. Sm.
Air Cond/Wind. Lg.
Dehumidifier
Dishwasher
Freezer 10 or less
Freezer 11 to 15
Freezer 16 or Over
Range- 20" Wide
Range 30" Wide
Range- 36" Wide
Refrigerator -CuCp
Refrig. 6 cu. Ft. or less
Refrig. 7 to 10 cu. Ft.
Refrig. 11 cu. Ft. - over
Trash Compactor
Vacuum Cleaner
Washing Machine
Dryer
Dehumidifier
Mangle
Microwave and Stand
Washer and Dryer Comb.
Washer
Oven - Convention
<< Back
|
|
Next >>
Update Table
KITCHEN
Bkft. Suite - Chairs
Breakfast Table
Chair- High
Ironing Board
Kitchen Cabinet
Microwave Oven
Serving Cart
Stool
Table
Utility Cabinet
Chairs
Linoleum
Table - Utility
Vegetable Bin
<< Back
|
|
Next >>
Update Table
PORCH AND OUTDOOR
BBQ Grill- Small
BBQ Grill- Large
Chairs- Aluminum
Chairs- Metal
Chairs- Wood
Garden Hose & Tools
Glider & Settee
Ladder- 6' Step
Ladder- 8' Metal
Ladder- Extension
Lawn Mower- Hand
Lawn Mower- Power
Lawn Mower Riding - HP
Leaf Sweeper
Outdoor Child Slide
Outdoor Child Gym
Outdoor Dry. Racks
Outdoor Swings
Picnic Table
Picnic Bench
Roller- Lawn
Rug- Large or Pad
Rug- Small or Pad
Sandbox
Spreader
Table - Small 2
Table - Large
Umbrella
Wheelbarrow
Bird Bath
Lawn Chair
Outdoor Slide
Portable Grill/Barbeque
Porch Chair - Wooden
Rocker - Swing
Settee
Lawn Table
<< Back
|
|
Next >>
Update Table
MISC / BOXES
Baby Carriage
Barbells lbs.
Basket - Clothes
Bicycle
Bowling Ball-Bag
Card Table
Clothes Hamper
Cot- Folding
Desk- Office
Fan
Fern/Plant Stands
Filing Cab. Crdbd.
Filing Cab. 2 Door
Folding Chairs
Footlockers
Game Table
Golf Bag
Heater- Gas/Elec.
Metal Shelves
Ping Pong Table
Pool Table Comp.
Pool Table Slate
Power Tool Hand Each
Power Tool Stand
Sewing Mach.- Port
Sewing Mach.- Console
Sewing Mach. W/Cabinet
Sled
Suitcase
Table - Utility
Tackle Box
Tire
Tire w/Rim
Toolchest- Small
Toolchest- Medium
Toolchest- Large
Trash Can
Wagon- Child's
Wastepaper Basket
Work Bench
Small box - 10 lb
Medium box - 20 lb
Medium Large box - 30 lb
Large box - 40 lb
Extra Large box - 50 lb
Wardrobe - 70 lb
Picture/mirror - 20 lb
Ash/Trash Can
Basket - Bushel
Bird Cage/Stand
Incinerator
Vehicles - Child
Trunk - Steamer
Outboard Motor
Power Saw
Typewriter
<< Back
|
Update Table
Item
Qty
Cubic feet
Weight (lbs)