Lic. / Ins. CAPUCT#188974 - E-ZMOVE SELF-INVENTORY • (888)315-6228 • Fax (925)335-2223
Instructions:It's E-Z! Print this page, fill in the blanks, then call or fax us!
TYPE OF MOVE: Residential- # Bed Rooms_______ Load/Unload # Crates____ Office/Industrial #Employees____ Staging 
NAME: DATE of MOVE:
PHONE#: H. W. C. Other.
*Moving Locations:
FROM: APT.# CITY: Cross St.
TO: APT.# CITY: Cross St.
X-TRA P/U Delivery: APT.# CITY: Cross St.
STORAGE? Y / N
If Yes, NAME:
 Address: Unit# Size:
Please Answer "How Many ____?" of the following:
Appliances:
Washer Dryer Stackable?
Refrig. Stove
Other Appliances:
Furnishings:
Bedrooms:
# Beds / Sizes:
Dressers
Chst Drws.
Armoire
Cedar Chst.
Living Room:
Couch
Love Seat
Ottoman
Sofa Bed(s)
Side Chrs
Recliner Rocker
Futon
End Tbls. Coffee Tbl.
Ent. Cntr.
TVs / Size(s):
Stereos Speakers
Kitchen:
Kitch. Tbl
Dining Rm.Tbl.
Chairs
China Cab.
Buffet
Patio Furniture / Outdoor Itms.
BBQ
Plants
Statues
 
Garage Itms:
Exerc.Eq.
Bike(s)
Tools
Misc.
Organ
Mirrors
Pictures
Lamps
Office Items:
Computer(s)
Desks
Credenza
Chairs
Bk Shlvs
File Cabs. / Sizes:

Office Tbl.
Copier
Printer
Fax
 OTHER:
TOTAL # BOXES :
 

*(Note: Failure to inform E-ZMOVE (prior to our arrival) of difficult access, excessive stairs, long walks (to carry), excessive weight etc.could result in penalties and/or refusal to move!) ie: E-ZMOVE can accommodate most circumstances, please let us know so we can arrive fully equipped & prepared to meet your needs!

FOR OFFICE USE ONLY:
*Move SpecificsAre there STAIRS? Y / N # FLIGHTS: 1st LOCATION- 2nd LOCATION- ELEVATOR?Y/ N
*Difficult access? Y/ N SPECIAL Provisions / Requests/ Questions/ Concerns:
CC