Box Ox Moving Co.
10616 A Lanshire Dr., Austin, TX 78758
North Austin (512) 861 8707
South Austin (512) 861 8859
support@boxoxmoving.com

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CUSTOMER DETAILS

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MOVING OUT OF:
MOVING INTO:
PACKING REQUIRED:	Please select an item.

MOVING FROM

ADDRESS:
ADDRESS LINE 2:
APT/UNIT NUMBER
CROSS STREET
CITY		ZIP	Invalid format.
STAIRS/ELEVATOR
LENGTH OF WALK TO THE TRUCK:

ADDITIONAL PICKUP
PARKING PERMITS REQUIRED
DISASSEMBLY REQUIRED
IF YES, WHAT:

MOVING TO

ADDRESS:
ADDRESS LINE 2:
APT/UNIT NUMBER
CROSS STREET
CITY		ZIP	Invalid format.

ADDITIONAL PICKUP
STAIRS/ELEVATOR
LENGTH OF WALK TO THE TRUCK:
PARKING PERMITS REQUIRED

ITEMS TO BE MOVED

PIANO
Type of Piano

BOXES
Small:			Medium:			Large:
Dishpacks:			Wardrobe Boxes:			Plastic Tubs:

LIVING ROOM
Couch			Sectional Couch:			Armchairs:
TV:			TV Type:			TV Size:
End Table:			Coffee Table:			Bookshelves:
Trunk:			Rugs:			Lamps:
Pictures:			Mirrors:
Other:

DINING ROOM
Table			Chairs:			China Buffet:
Rugs:			Lamps:			Bookshelves:
Other:						Pictures:

KITCHEN
Table			Chairs:			Kitchen Island:
Stools:			Rugs:
Other:

MASTER BEDROOM
King Bed			Queen Bed:			Full Bed:
Dressers:			Rugs:			Night Stands:
Armoire:			Lamps:			Mirrors:
Other:						Pictures:

2ND BEDROOM
King Bed			Queen Bed:			Full Bed:
Dressers:			Rugs:			Night Stands:
Armoire:			Lamps:
Other:

3RD BEDROOM
King Bed			Queen Bed:			Full Bed:
Dressers:			Rugs:			Night Stands:
Armoire:			Lamps:
Other:

OFFICE
Desk			Bookshelves:			Filing Cabinets:
Other:

GARAGE / STORAGE / GARDEN
Shelves			Boxes:
Other:

MISCELLANEOUS
Other:

Questions or comments:

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