Shipping Information

	Length (inches)	Width (inches)	Height (inches)	Weight (lbs)	Description	Value $	Packaged?
Item 1							Y N
Item 2							Y N
Item 3							Y N
Item 4							Y N
Item 5							Y N

Pick up & Delivery

Is the location that the item(s) are being picked up from:
Commercial
Residential
Origin Zip Code:

Is the location that the item(s) are being delivered to:
Commercial
Residential
Destination Zip Code:

Were you referred from:
	Internet
	Moving Company
	Interior Decorator
	Trade Show
	Other (use comments field below)

Additional Info/Comments:

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