MnM Removals

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Name

Removal address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Delivery address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Est Move Date

Email

example@example.com

Contact number

Area CodePhone Number

Packing servicePart pack serviceNo packing

YesNo

Where did you hear about us?

Lounge

Rows	CF	Quantity
Arm Chair
Bean bags
Book Case
Bureau LARGE
Bureau SMALL
Carpet & Rug
Chandelier
China cabinet LARGE
China cabinet MEDIUM
China cabinet SMALL
Coffee Table
Cupboard LARGE
Cupboard SMALL
Curtain
End Table
Folding card table
Foot stalls
Games console
Grand Piano
Grandfather clock
Lamp standard
Lamps Floor or Pole
Lazy Boy
Magazine Rack
Music cabinet
Nest of tables
Occasional Chair
Piano Baby Grand
Piano duet stool
Piano miniature
Piano player
Piano stool
Piano Upright
Pictures
Portable heater/fires
Sideboard LARGE
Sideboard MEDIUM
Sideboard SMALL
Sofa (2 Seats)
Sofa (3 Seats)
Sofa (4 Seats)
Sofa Bed
Sofa Sectional
Stereo LARGE
Stereo
Stool
Television
Television Stand
Upright Piano
Video
Wall Unit LARGE
Wall Unit MEDIUM
Welsh dresser

Dining

Rows	CF	Quantity
Carver
Dining chair
Gate leg table MEDIUM
Dining table SMALL
Dining table MEDIUM
Dining table LARGE
Rectory table LARGE

Kitchen

Rows	CF	Quantity
Bin
Breakfast Chair
Breakfast Table
Cooker Gas/Electric
Cupboard base unit
Cupboard wall unit
Dishwasher
Dryer
Electric floor polisher
Freezer LARGE
Freezer MEDIUM
Freezer SMALL
Freezer chest
Freezer upright
Fridge freezer (American)
High Chair
High chair (baby)
Kitchen cabinet
Kitchen Cabinet
Kitchen table LARGE
Kitchen table MEDIUM
Kitchen table SMALL
Microwave
Refrigerator LARGE
Refrigerator MEDIUM
Refrigerator SMALL
Serving Cart
Store cupboard MEDIUM
Stove
Tea/host trolley
Tray and stand
Utility Cabinet
Vacuum Cleaner
Washer/dryer
Washing Machine

Miscellaneous

Rows	CF	Quantity
Bins
Clothes Horse 3 fold
Hall Chair
Hall Table
Hand Sewing Machine
Ironing Board
Oak Coffer Medium
Safe (weight/size)
Stair Chair
Treadle Sewing Machine

Office

Rows	CF	Quantity
2 Drawer File
3 Drawer File
4 drawer File
5 drawer File
Bookcase LARGE
Bookcase MEDIUM
Bookcase SMALL
Cabinet
Cabinet, metal small
Chair, folding
Chair, Stackable
Chair, Upholstered
Coat rack
Computer/PC
Copier/Printer
Copier stand
Credenza
Desk executive LARGE
Desk secretary MEDIUM
Desk SMALL
Desk, return
Glass top
Laptop
Partitions
Rack
Safe
Shelf, metal small
Shelving, industrial
Showcase
Sofa LARGE
Sofa SMALL
Stool

Bedrooms (Bed includes Mattress)

Rows	CF	B1	B2	B3	B4	B5	B6
Single Bed
Double Size Bed
King Size Bed
Bunk Bed (set of 2)
Cot (baby/childrens bed)
Continental headboard
Cedar Chest
Chair
Chest of Drawers LARGE
Chest of Drawers MEDIUM
Chest of Drawers SMALL
Dressing chest
Dressing table
Folding bed
Lloyd Loom chair
Mirror
Self essd wardrobe
Side Tables
Sunbed
Tallboy
Tub chair
Wardrobe 2'6"
Wardrobe 3'0"
Wardrobe 416"
Wardrobe Boxes
Wardrobe compartment
Washstand and slab

Garden/Shed

Rows	CF	Quantity
Barbecue/ Grill
Bicycle
Bird Table
Chair, SUN LOUNGER
Chairs, DECK
Chairs, LAWN
Chairs, PORCH
Dustbin
Exercise Equipment
Extension Ladder
Fly Mo
Garden Ornaments
Garden Roller
Garden Seat
Garden Tools Per Tool
Golf Clubs
Hose and Reel
Lawn Mower, electric
Lawn Mower, motor
Outdoor Swing
Pair Steps
Patio Set
Picnic Table
Plants
Pram/Buggy
Tool Boxes
Wheelbarrow
Work Bench

Recreational Items

Rows	CF	Quantity
Canoe
Hutches/Kennels
Pod/Snooker/Games
Rabbit Hutch
Sandpit
Slide
Surfboards
Swing (Size in FT)
Swing Hammock
Trampoline (STATE SIZE FT)

Boxes (packed by yourself)

Rows	CF	Quantity
SMALL
MEDIUM
LARGE
X LARGE

Other Notes

Additional items, items to dismantle, additional instructions etc.

Total CF