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Household
Corporate Relocation
International
Office/Industrial
Preferred Moves
Storage
Other Services
Free Estimate
Fields marked with * are required
Contact Information:
Name
*
Email
*
Home Phone
*
Work Phone
Fax
Move Information:
Estimated move date
January
February
March
April
May
June
July
August
September
October
Nobember
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
2008
2009
2010
2011
2012
2013
2014
Moving From:
Street Address
Size of Residence
House
Apartment
# of Bedrooms
# of Rooms
Flights of Stairs
Major Appliances
Moving To:
Street Address
Size of Residence
House
Apartment
# of Bedrooms
# of Rooms
Flights of Stairs
Major Appliances
Will Temporary Storage be needed?
YES
NO
Will destination residence be ready by time of move?
YES
NO
List of Goods Being Moved:
Living Room
Quantity
Arm Chair
Sofa
Love Seat
Rocking Chair
Lamp
Piano
Rugs
Stereo
Coffee Table
End Table
TV
Stand
Futon
E. Center
Ottoman
Office
Quantity
Desk
File Cabinet
Picnic Table
Fan
Book Case
Grill
Suitcase
Work Bench
Computer
Exercise Equipment
Trunk
Boxes
Quantity
Small
Medium
Large
Wardrobe
Picture
Dining Room
Quantity
China Cabinet
Buffet
Chairs
Table
Tea Cart
Hutch
Kitchen
Quantity
Refrigerator
Freezer
Dryer
Washer
Table
Chairs
Cabinet
Vacuum
Microwave
A/C
Bedrooms
Quantity
Double Bed
Queen Bed
King Bed
Single Bed
Bureau
Chest
Dresser
Night Table
Armoire
Mirror
Comments
Free Estimate
Resources
Change of Address
F.A.Q.'s
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10505 Maumelle Blvd.
North Little Rock, AR 72113
agent0153@bekins.com