Individual Moving Supplies Order Form

MOVING SUPPLY ORDER FORM

Name, First / Last*

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Your Email*

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Phone*

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Delivery / Pickup*

Delivery

Pickup

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DELIVER TO:

Address:

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Apartment #:

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City:

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State

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Zip Code:

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SELECT ITEMS

ITEM	DESCRIPTION	COST	USES	QUANTITY
BOOK BOX	16" X 12.75" X 12.75"	$3.50 EA	BOOKS, RECORDS, DVDs & CDs TOOLS, PAPERS, ECT.	Invalid Input
MEDIUM BOX	18" X 18" X 16"	$4.50 EA	POTS AND PANS, LINENS, SHOES TOYS,STEREO COMPONETS.	Invalid Input
UTILITY BOX	24" X 18 X 16"	$5.50 EA	PICTURES, LAMP SHADES, PILLOWS, AND BASICALLY ANYTHING THAT WON'T FIT IN THE ABOVE BOXES.	Invalid Input
CHNIA BOX	18 X 18 X 27	$7.50 EA	DISHES, PLATES, BOWLES, FINE CHINA, GLASSES. THESE THINS SHOULD BE WRAPPEN IN BUBBLE WRAP FOR ADDED PROTECTION.	Invalid Input
PICTURE BOX	40 X 3 X 29.5	$7.00 EA	PICTURES, MIRRORS, PAINTINGS, SMALL GLASS TABLETOPS, SMALL PIECES OF MARBLE. THESE ITEMS SHOULD ALSO BE WRAPPED IN BUBBLE WRAP.	Invalid Input
TELEVISON BOX	27 x 21 x 18	$12.00 EA	TELEVISION, ELECTRONICS, COMFORTERS, PILLOWS. LINENS, TOWELS.	Invalid Input
WARDROBE BOX w/ BAR	24 x 22 x 48	$15.00 EA	HANGING CLOTHES, SUITES, DRESSES, LONG COATS, LARGE HOUSE PLANTS, DINING ROOM CHAIRS, ECT.	Invalid Input
LEGAL FILE BOX		$4.50 EA	DOCUMENT STORAGE	Invalid Input
BUBBLE WRAP		$.50/FT	PROTECTION, PACKING	Invalid Input
KRAFT BUBBLE		$ 1.00/FT	PROTECTION, PACKING	Invalid Input
TAPE		$4.00/RL	PACKING	Invalid Input
UNPRINTED PAPER		$1.50/LB	PACKING/DOCUMENTATION	Invalid Input