Full Name/Company Name:
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Phone:
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Additional Phone:
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E-mail Address:
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Bedroom |
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Bed Including Spring & Mattress
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Number of Pieces
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Bed, Double
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Number of Pieces
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Bed, King Size
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Number of Pieces
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Bed, Single or Hollywood
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Number of Pieces
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Bed, Rollaway
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Number of Pieces
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Bed, Bunk (Set of 2)
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Number of Pieces
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Bookshelves, Sectional
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Number of Pieces
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Bureau, Dresser, Chest of Drawers, Chifrt. or Chifnr.
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Number of Pieces
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Cedar Chest
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Number of Pieces
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Chair, Boudoir
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Number of Pieces
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Chair, Straight or Rocker
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Number of Pieces
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Chaise Lounge
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Number of Pieces
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Desk, Small or Winthrop
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Number of Pieces
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Dresser or Vanity Bench
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Number of Pieces
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Dresser Double (Mr. & Mrs.)
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Number of Pieces
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Night Table
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Number of Pieces
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Rug, Large or Pad
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Number of Pieces
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Rug, Small or Pad
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Number of Pieces
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Vanity Dresser
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Number of Pieces
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Wardrobe, Small
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Number of Pieces
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Wardrobe, Large
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Number of Pieces
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Nursery |
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Bathinette
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Number of Pieces
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Bed, Youth
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Number of Pieces
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Chair, Child's
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Number of Pieces
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Chair, High
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Number of Pieces
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Chest
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Number of Pieces
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Chest, Toy
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Number of Pieces
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Porch, Outdoor Furniture, & Equipment |
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Barbecue or Port. Grill
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Number of Pieces
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Bath, Bird
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Number of Pieces
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Chairs, Lawn
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Number of Pieces
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Chairs, Porch
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Number of Pieces
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Clothes Line
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Number of Pieces
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Clothes Dryer Rack
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Number of Pieces
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Garden Hose and Tools
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Number of Pieces
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Glider or Settee
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Number of Pieces
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Ladder, Extension
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Number of Pieces
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Lawn Mower (Hand)
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Number of Pieces
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Lawn Mower (Power)
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Number of Pieces
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Lawn Mower (Riding)
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Number of Pieces
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Leaf Sweeper
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Number of Pieces
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Outdoor Child's Slide
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Number of Pieces
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Outdoor Child's Gym
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Number of Pieces
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Outdoor Drying Racks
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Number of Pieces
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Outdoor Swings
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Number of Pieces
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Picnic Table
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Number of Pieces
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Picnic Bench
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Number of Pieces
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Porch Chair
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Number of Pieces
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Rocker, Swing
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Number of Pieces
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Roller, Lawn
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Number of Pieces
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Rug, Large
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Number of Pieces
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Rug, Small
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Number of Pieces
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Sand Box
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Number of Pieces
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Settee
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Number of Pieces
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Spreader
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Number of Pieces
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Table
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Number of Pieces
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Umbrella
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Number of Pieces
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Wheel Barrow
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Number of Pieces
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Miscellaneous |
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Ash or Trash Can
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Number of Pieces
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Basket (Clothes)
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Number of Pieces
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Bicycle
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Number of Pieces
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Bird Cage & Stand
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Number of Pieces
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Card Table
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Number of Pieces
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Cabinet, Filing
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Number of Pieces
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Carriage, Baby
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Number of Pieces
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Chairs, Folding
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Number of Pieces
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Clothes, Hamper
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Number of Pieces
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Cot, Folding
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Number of Pieces
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Containers to Be Packed by Shipper |
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Barrels
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Number of Pieces
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Boxes, Wooden
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Number of Pieces
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Carton (Less than 1 1/2 Cu. Ft.)
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Number of Pieces
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Carton (1 1/2 Cu. Ft.)
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Number of Pieces
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Carton (3 Cu. Ft.)
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Number of Pieces
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Carton (4 1/2 Cu. Ft.)
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Number of Pieces
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Carton (6 Cu. Ft.)
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Number of Pieces
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Carton (6 1/2 Cu. Ft.)
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Number of Pieces
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Wardrobe Furnished by Carrier
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Number of Pieces
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