Anderson Moving & Storage - Business Center In Lacross, WI USA

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Name: *

Email Address: *

Home Phone: *

Work Phone:

Fax:

Estimated Move Date:

* Moving From: *

Address:

City:

State:

Zip:

Size of Residence:

Number of Bedrooms:

Number of Rooms:

Flights of Stairs:

Major Appliances:

* Moving To: *

Address:

City:

State:

Zip:

Size of Residence:

Number of Bedrooms:

Number of Rooms:

Flights of Stairs:

Will Temporary Storage be needed?

YesNo

Will destination residence be ready by time of move?

YesNo

Living Room (please specify the quantities)

Armchair:

Sofa:

Love Seat:

Rocking Chair:

Lamp:

Piano:

Rugs:

Stereo:

Coffee Table:

End Table:

TV:

Stand:

Futon:

E. Center:

Ottoman:

Office (please specify the quantities)

Desk:

File Cabinet:

Picnic Table:

Fan:

Book Case:

Grill:

Suitcase:

Work Bench:

Computer:

Exercise Equipment:

Trunk:

Boxes (please specify the quantities)

Small:

Medium:

Large:

Wardrobe:

Picture:

Dining Room (please specify the quantities)

China Cabinet:

Buffet:

Chair:

Table:

Tea Cart:

Hutch:

Kitchen (please specify the quantities)

Refrigerator:

Freezer:

Dryer:

Washer:

Table:

Chairs:

Cabinet:

Vacuum:

Microwave:

A/C:

Bedroom (please specify the quantities)

Double Bed:

Queen Bed:

King Bed:

Single Bed:

Bureau:

Chest:

Dresser:

Night Table:

Armoire:

Mirror:

Comments:

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