allstatemovers.com

allstatemovers.com

Contact And Move Information

First Name:	Last Name:	Move Date:
Home Phone:	Cell Phone:	Work Phone:
Email Address:	Any Additonal Comments:
Referred By:	If Referred By Other:
Current Address Information
Address:
City:	State:	Zip Code:
Residence Type:	If Other, Explain:	Can we park witin 100 feet of door? Accessible Elevator?
Final Destination Address Information
Address:
City:	State:	Zip Code:
Residence Type:	If Other, Explain:	Can we park witin 100 feet of door? Accessible Elevator?
	Press Submit now to send move information only. An Allstate Movers representitive will contact you to get inventory information. Complete the rest of the form to get a quote by email.

Inventory Information

Enter the quantity of each item in the space provided.

Bedroom

King Bed:	Queen Bed:	Single Bed:	Full Bed:
Head Board:	Foot Board:	Post Bed:	Canopy Bed:
Bridge Bed:	Sleigh Bed:	Day Bed:	Trundle:
Bunk Bed:	Captain Bed:	Waterbed:	Armoire:
Chest of Drawers:	Small Dresser:	Large Dresser:	Mirror:
Night Stand:	Vanity:	Cedar Chest:

Living Room

Sofa:

Loveseat:

Hide-a-bed:

Futon:

Recliner:

Arm Chair:

Rocker/Glider:

Ottoman:

Table Lamp:

Floor Lamp:

Coffee Table:

End Table:

Sofa Table:

DVD/VCR:

Stereo Component:

Stereo Cabinet:

Big Screen TV
(36" & Up):

Console TV
(21" - 35"):

Portable TV
(20" & Under):

TV Stand:

Entertainment
Center:

Ent. Center
Pieces:

Bookcase:

Baby Grand:

Grandfather Clock:

Sewing Machine:

Pictures:

Ficus Tree:

Plants:

Glasstop-Large:

Glasstop-Med:

Glasstop-Small:

Rugs:

Dining Room

Dining Table:

Dining Chairs:

Kitchen Table:

Kitchen Chairs:

China Cabinet:

Is China Cab.
1 or 2 pieces:

Buffet:

Curio Cabinet:

Baker's Rack:

Wine Rack:

Tea Cart:

TV Trays:

Kitchen

Refrigerator:	Freezer:	Microwave:	Microwave Stand:
Washer:	Dryer:	Pantry:	Stove:
Vacuum:	Ironing Board:

Office

Large Desk:

Small Desk:

Writing Desk:

Drafting Table:

Secretary Desk:

Rolltop Desk:

Desk Chair:

Credenza:

File Cabinet
2 Drawer:

File Cabinet
3 Drawer:

File Cabinet
4 Drawer:

File Cabinet
5 Drawer:

Computer:

Printer:

Scanner:

Fax:

Desk Copier:

Floor Copier:

Exercise Equipment

Exercise Bike:	Treadmill:	Stair-Stepper:	Health Rider:
Weight Bench:	Pounds Of Weights:	Home Gym:	Bicycle:

Miscellaneous

Lawnmover:	Edger:	Weed Eater:	Garden Tools:
Water Hose:	Wheel Barrow:	Ladder:	Work Bench:
Small Tool Box:	Large Tool Box:	Patio Table:	Patio Chairs:
Patio Swing:	Umbrella:	Air Compressor:	Barbeque Pit:

Additional Items

Description:	Quantity:
Description:	Quantity:
Description:	Quantity:
Description:	Quantity:

Boxes

Number of 1 man boxes (Under 50 lbs):

Number of 2 man boxes (Over 50 lbs):


		Press Submit to send your information to Allstate Movers.



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Allstate Movers is a Houston, Texas based moving company that offers moving services to the greater Houston area. Our moving headquarters are centrally located in Houston at 8633 Pagewood Houston, TX 77063.

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