Cassidy's  
TRANSFER   &   STORAGE LTD.

Estimate Order Form


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Email:                           

First Name:                      

Last Name:                       

Origin Contact:                  

Phone/ext 1:                     

Phone/ext 2:                     

Fax:                             

Loading Address 1:               

Loading Address 2:               

City:                            

Prov/State:                      

Country:                         

Destination Address 1:           

Destination Address 2:           

Destination Prov/State:          

Destination City:                

Destination Postal Code:         

Destination Contact:             

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Appliance Servicing:

Please checkmark the appropriate box.

Air Conditioner
Television
Freezer
Washer
Dryer
Record Player
Dishwasher
Water Bed
Refrigerator
Range
Dry Ice
House Cleaning
Services At Destination

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Living Room:

Please indicate number(s) of articles in the appropriate boxes.

Bench - Fireside or Piano:       

Bookcase Double Door:	 	 

Bookcase Sectional Per Section:	 

Bookshelves:                     

Chair Arm:                       

Chair Rocker:                    

Chair Overstuffed:               

Chair Straight:                  

Clock Grandfather:               

Davenport Small:                 

Davenport Large:                 

Davenport Extra Large:           

Davenport Ladies:                

Desk Small or Winthrop:          

Desk Secretary:                  

Fireplace Equipment:             

Foot Stool:                      

Lamp Floor:                      

Magazine Rack:                   

Piano Baby Grand or Upright:     

Piano Parlor Grand:              

Piano Spinet or Apartment:       

Phonograph Combination:          

Hi Fi Stereo:                    

Speaker:                         

Radio Floor Model:               

Rug or Pad Large:                

Rug or Pad Small:                

Studio Couch:                    

Tables Coffee End or Nest:       

Tables Davenport:                

Tables Dropleaf or Occasional:   

Table Library:                   

Table Gateleg:                   

Telephone Stand and Chair:       

Television Combination:          

Television Console:              

Television Table Model:          

Television Aerial:               

Organ:                           

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Dining Room:

Please indicate number(s) of articles in the appropriate boxes.

Bar Portable:                    

Breakfront:                      

Buffet:                          

Corner Cabinet Dining Buffet:    

Chair Arm:                       

Chair Straight:                  

China Closet:                    

Server:                          

Dinette Table:                   

Table Extention:                 

Rugs Large or Pad:               

Rugs Small or Pad:               

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Bedroom:

Please indicate number(s) of articles in the appropriate boxes.

Bed Including Box & Mattress:    

Bed Single or Hollywood:         

Bed Bunk Set of Two:             

Bed:                             

Bureau Dresser, Chest of Drawers:

Dresser Double:                  

Cedar Chest:                     

Childs Crib or Desk:             

Chair Boudoir:                   

Chair Straight or Rocker:        

Chaise Lounge:                   

Rug Large or Pad:                

Rug Small or Pad:                

Wardrobe Small:                  

Wardrobe Large:                  

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Nursery Articles:

Please indicate number(s) of articles in the appropriate boxes.

Bathinette:                      

Bed Youth:                       

Chair Childs:                    

Chair High:                      

Chest:                           

Chest Toy:                       

Commode:                         

Playpen:                         

Rug Large or Pad:                

Rug Small or Pad:                

Table Childs:                    

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Kitchen:

Please indicate number(s) of articles in the appropriate boxes.

Chairs:                          

Table:                           

Ironing Board:                   

Cabinet:                         

Linoleum:                        

Stool:                           

Table Utility:                   

Utility Cabinet:                 

Vegetable Bin:                   

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Appliances:

Please indicate number(s) of articles in the appropriate boxes.

Air Conditioner Window:          

Cleaner Vacuum:                  

Dehumidifier:                    

Dishwasher:                      

Dryer Electric or Gas:           

Freezer CU. CAP. 10 or less:     

Freezer CU. CAP. 11 to 15:       

Freezer CU. CAP. 16 and up:      

Microwave Oven:                  

Range Electric or Gas:           

Roster and Stand:                

Refrigerator CU. CAP. 6 or less: 

Refrigerator CU. CAP. 7 to 10:   

Refrigerator CU. CAP 11. and up: 

Sewing Machine In Cabinet:       

Sewing Machine Portable:         

Washer and Dryer Combination:    

Washer:                          

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Porch, Outdoor Furniture & Equipment:

Please indicate number(s) of articles in the appropriate boxes.

Bird Bath:                       

Garden Hose and Tools:           

Glider or Settee:                

Ladder Extention or Large:       

Lawn Chairs:                     

Mower Hand or Power:             

Outdoor Slide:                   

Outdoor Gym:                     

Outdoor Dryer Racks:             

Outdoor Swings:                  

Picnic Table:                    

Picnic Bench:                    

Portable Grill or BBQ:           

Porch Chair Wooden:              

Chair Rocker or Swing:           

Rugs Large:                      

Rugs Small:                      

Sandbox:                         

Settee:                          

Wheelbarrow:                     

Lawn Table:                      

Lawn Umbrella:                   

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Miscellaneous:

Please indicate number(s) of articles in the appropriate boxes.

Ash or Trash Can:                

Basket Bushel:                   

Basket Clothes:                  

Bicycle:                         

Bird Cage and Stand:             

Cabinet Filing:                  

Carriage Baby:                   

Clothes Hamper:                  

Cot Folding:                     

Fan:                             

Fernery or Planter Stands:       

Foot Lockers:                    

Folding Chairs:                  

Golf Bag:                        

Heater Gas or Elec:              

Incinerator:                     

Rollaway Bed:                    

Sled:                            

Step Ladder:                     

Tool Chest:                      

Vehicles Childs:                 

Work Bench:                      

Suitcase:                        

Trunk Steamer:                   

Trunk Wardrobe:                  

Outboard Motor:                  

Power Saw:                       

Ping Pong Table:                 

Tires:                           

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Comments:

Please feel free to include additional comments.



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