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Contact Information
Contact Name:
Contact Number:
Contact E-mail:
Desired Move Date:
/
/
Current address:
New address:
Initial Information
Total Bedrooms:
Total Boxes:
Bedrooms
Beds:
Dresser:
Nightstand:
Bookcase:
Living & Dining
Kitchen Table:
China Cabinet:
Couches:
T.V:
Entertainment Center:
Coffee Table:
Bookcase:
Lamps:
Pictures:
Kitchen
Refrigerator:
Deep Freezer:
Table/Breakfast Table:
Office
Beds:
Small Desk:
Filing Cabinet:
Bookcase:
Outdoor & Patio
Patio set:
Plants:
Barbeque Grill:
Misc. Items: ie pool table, piano..etc:
Additional Comments/Requests:
license
information
PUC License - CALT:190430
USDOT- 1664301
MC 621306
CA 361996
