Moving Tips        FAQ's        DH Forms Dulles Moving Residential Survey Form: Please be SURE to fill out accurately ALL FIELDS before submitting: ** Please note that the following survey and inventory are only used to give you an IDEA of what your move may entail and cost. This is by no means an adequate substitute for an " on-site " visit by a Dulles Moving & Storage representative. Type of Move: Residential Dates of Service   Packing (DATE) Loading from Origin (DATE) Unloading at Destination (DATE) Submitted By: (NAME) Company:(If a Commercial Move) Contact Info   Home Phone E-Mail address Cell Phone Work Phone Other Preferred contact method Email Home Phone Work Phone Cell Phone Mail How did you hear about DH Moving? Web Referral Prior Customer Advertisement Other   Origin Info (moving from)   Address Line 1 Line 2 City State Zip Code Destination Info (moving to)   Address Line 1 Line 2 City State Zip Code Elevator at Origin Elevator at Destination Steps at Origin Steps at destination Unusual Factors at Origin Please Explain Unusual Factors at Destination Please Explain Moving From Choose Single Family House Townhouse Condo Apt Office Moving To Choose Single Family House Townhouse Condo Apt Office Inventory of Items to be Moved by D H Moving & Storage Inc. Living Room: # of pieces   # of pieces Bookcase Entertainment Unit Bench Rugs: Large w/Pad Computer Desk Rugs: Small w/Pad Curio Cabinet Sofas: Loveseat Chair: Arm Sofas: 3 Cushion Chair: Rocker Sectional Pieces Chair: Overstuffed Tables: Drop Lf / Occsnl Cedar Chest Coffee Table Desk: Secretary End Table Estimated number of boxes   Other Other Dining Room # of Pieces # of Pieces Buffet (Base) Dining Table Hutch (Top) Dining Chair Corner Cabinet Server Rugs: Large w/Pad Rugs: Small w/Pad Estimated number of boxes   Other Other Kitchen # of Pieces   # of Pieces Kitchen Chairs Serving Cart Kitchen Table Utility Cabinet Child High Chair Stool Microwave Stand Estimated number of boxes   Other Other Appliances # of Pieces   # of Pieces Air Conditioner Dehumidifier Microwave Oven Freezer Refrigerator Washing Machine Vacuum Cleaner Dryer Estimated number of boxes   Other Other Electronics # of Pieces   # of Pieces Stereo Component Television: Large Stereo Console Television: Small Stereo Cabinet Television: Big Screen VCR, DVD, CD Television Stand Computer / Printer Estimated number of boxes   Other Major Bedrooms # of Pieces   # of Pieces Bed: Single / Twin Bed: Bunk Bed Set Bed: Double / Standard Chair: Occasional Bed: Queen Size Chair: Overstuffed Bed: King Size Chair: Rocker Cedar Chest Dresser: Single Armoire / TV Unit Dresser: Double Hamper / Basket Dresser: Triple Night Stand Trunk / Footlocker Rug: Large w / Pad Rug: Small w / Pad Estimated number of boxes   Other Other Childs Bedroom # of Pieces   # of Pieces Youth Bed Rocking Chair Toy Chest Crib Changing Table Estimated number of boxes   Other Other Specialty Articles # of Pieces # of Pieces Piano: Spinet Pool Table: Slate Piano: Baby Grand Ping Pong Table Hot Tub Swing Set Riding Mower Exercise Machine Boat / Canoe Estimated number of boxes   Other Other Porch / Outdoor # of Pieces   # of Pieces BBQ Grill: Small Chairs BBQ Grill: Large Ladder: Step Garden Tools / Hose Ladder: Extension Lawn Mower Leaf Sweeper Child Gym Umbrella / Stand Picnic Bench Wheelbarrow Picnic Table Estimated number of boxes   Other Other Other Garage / Shop /Misc. # of Pieces   # of Pieces Bicycle: Child Office Desk Bicycle: Adult Golf Club Set Filing Cabinet: Two Drwr Metal Shelves Filing Cabinet: Four Drwr Skis / Sled Tires Suitcase Trashcan Tool Chest: Small Utility Table Tool Chest: Large Work Bench Children's Toys / Wagon Sewing Machine Cabinet Rugs: Large w / Pad Rugs: Small w / Pad     Estimated number of boxes   Other Special Needs, Requests or Comments For Dulles Moving & Storage use only Sub-Total Cubic Feet   Please note that the survey and inventory are only used to give you an IDEA of what your move may entail and cost. This is by no means an adequate substitute for an " on-site " visit by a Dulles Moving & Storage representative.