ANY ADDITIONAL ITEMS THAT THE CREW MOVES THAT ARE NOT ADDED ON THIS SHEET WILL INCREASE THE ESTIMATED HOURS FOR YOUR MOVE."*" indicates required fieldsName* First Last Company NameAddress* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Telephone*Move From*Move To*Move Date* MM slash DD slash YYYY Type of Residence*Select OneHomeApartmentCondoHighriseDuplexTownhouseMid-RiseStorageOfficeSalesperson*Select OneJacqueline RobertsonJasmine PalamusoKent HamelFamily Room ItemsPlease enter a number for each itemArmoireBenchBookshelfChair, ArmChair, OccasionalChair, Ovrstff / ReclChair, RockingChair, StraightCurio CabinetDesk ReturnDesk with SecretaryDVD RackEntertainment CenterFireplace EquipmentOttoman/Foot StoolLamp, FloorLamp, TablePiano, Baby G/UprtPiano, ElectricPiano, Parlor GrandRug, AreaRugs (Small)Sofa Love SeatSofa/CouchSofa - 4 Seat, Lg.Sofa (per section)Sofa BedTable, SofaTable, Coffee-WoodenTable, Coffee-Glass/Stone TopTable, End-WoodenTable, End-Glass/Stone TopTable, OccasionalProjectionTV SizeTV Stand/CartTV Tray SetWall UnitDining Room ItemsPlease enter a number for each itemTable, Dining-WoodTable, Glass/Stone TopChairHutchBuffetCabinet, ChinaCabinet, CornerCabinet, ServerCabinet, Table LeafsTea CartKitchen ItemsPlease enter a number for each itemTable, WoodTable, Glass/Stone TopChairsBakers RackButcher BlockBar/Dry SinkKitchen CabinetBar StoolUtility CabinetWall ShelfWine RackBedroom ItemsPlease enter a number for each itemFull/Double BedsKing BedsQueen BedsTwin BedsHeadboard/FootboardBunk BedsBed FrameChest or TrunkChest of DrawersDresser, SingleDresser, DoubleDresser, TripleBookcaseDesk ChairDesk, Lg.Desk, Sm.Dressing BenchEntertainment CenterFloor MirrorFutonLingerie ChestNight/Bedside TableVanity DresserWardrobe (lg)Wardrobe (sm)WaterbedMirrorOffice ItemsPlease enter a number for each itemDesk ChairDesk, LgComputerPrinter/Fax2-Drawer File Cabinet4-Drawer File CabinetCredenzaCopierNursery ItemsPlease enter a number for each itemCribBassinetChanging TableBed YouthChair, ChildsChair, RockerChest of DrawersChest, ToyPlay PenRugRug (sm)Table, ChildsChair, HighAppliances LG ItemsPlease enter a number for each itemAir Conditioner (Window)DishwasherMicrowaveFreezer (10' or less)Freezer (11' to 15')Freezer (16' & over)Fridge (Range)Fridge (6' or less)Fridge (7' to 10')Fridge (11' and over)Sewing Machine (Port)Sewing Machine CabTrash CompactorTop Load WasherFront Load WasherDryerPorch & Outdoor ItemsPlease enter a number for each itemBBQ GrillChairs, LoungeChairs, PorchGarden Hose & ToolsGlider or SeteeLadder (Extension)Lawn Mower (Hand)Lawn Mower (Power)Lawn Mower (Riding)Leaf SweeperOutdoor Child GymOutdoor Child SlideOutdoor SwingPatio TablePicnic BenchSpreaderTableTable, BistroToolsUmbrellaWheelbarrowDog HouseWeight BenchExercise BikeStairmasterTreadmillGarage ItemsPlease enter a number for each itemArtificial TreesBasket, ClothesBicycleBrooms, MopsCabinet, FilingCabinetsCard TableCarriage, BabyChairs, FoldingChild Car SeatClothes HamperCoolerDrying RackFanFishing PoleFoot LockerGolf BagHeaterIroning BoardLarge PlantPing Pong TablePlant StandPool Table 1 SlatePool Table 3 SlatePower ToolsShelving UnitsStep LadderSuitecaseTable, UtilityTackle BoxTiresTool ChestTrash CanTricycleTrunkVacuum CleanerWagonWork BenchYard ToolsOther ItemsPlease enter a number for each itemStereoSpeakerCredenzaRack, CoatRack, MagazineCable BoxBlu-RayDVDBoxes PBO: House ItemsPlease enter a number for each item1.5 Small3.0 Medium4.5 Medium Large (Rubbermaid)6.0 Large Boxes6.5 X-LargeComputer BoxDishpackLamps, TableMirrorsVCR/DVD BoxesWall ArtWardrobe ChinaDishpackLampMirror or PictureWardrobeAdditional ItemsList any additional items in your household and your main concernsYour moving price includes a skilled crew of uniformed professionals who will arrive in a fully-equipped truck. They will protect your home with floor, door, wall and bannister protection, and then they will disassemble, pad-wrap and shrink-wrap your furniture before loading. Once at your new home, they will unwrap, reassemble and place the furniture in the appropriate rooms. Please note that items such as glass tops, wall art, pictures, mirrors, TV’s, lamps, and other breakable items must be packed in boxes or crates in order for us to move them safely, and we do have full- or partial-packing and crating services available if needed. Please empty all drawers and have children, pets and valuable items secured. At Atlanta Peach Movers, we provide service and value with the goal of a quality, stress-free move in mind.Δ