Home Inventory Form

Thank you for filling out our Online Estimate Form! By filling out this Home Inventory Form you will be providing us with all the information we need to give you the most comprehensive estimate of your moving costs.

To the right of each item listed on this form are two boxes: the box to the left is where you type the quantity of the items you will be moving. The box to the right will automatically be filled-in with the approximate cubic footage of each item after you click on the “CALCULATE” button on the bottom of this form. After the calculations have been made, please click on the “SUBMIT” button to send your information to West Coast Van Lines for processing.

Your Name: *
Home Phone: *
Work Phone:	Ext:
Fax:
E-mail: *
Preferred Contact:	Select One No Preference E-mail Home Phone Work Phone Fax

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More Origin Information		More Destination Information
Access	Walk-up Ground Floor Elevator	Destination Access	Unknown Walk-up Ground Floor Elevator
# Flights/Floors	Please Select: 1 2 3 4 5 6+	# Flights/Floors	Please Select: 1 2 3 4 5 6+
Distance From Truck to Door 0 – 75 feet 75 – 150 feet 150 – 225 feet 225 feet or more		Distance From Truck to Door 0 – 75 feet 75 – 150 feet 150 – 225 feet 225 feet or more
Moving Date:		Is Moving Date … Firm?   or Approximate?
Need Storage?	Yes  No If yes, for how many months is storage needed ?
Do you need help with packing		Please Select . . . No, I will pack Yes, I want help with all packing Yes, I need partial help packing
If you want help packing, please give us as many details as possible in order to serve you best (i.e. rooms to pack, type of belongings for us to pack, etc.)
Number Of Cars/Trucks To Be Transported: 0123456+		If you have cars to move, please specify each car’s year, make, model, and running condition in the box below.
How did you hear about West Coast Van Lines?

Living Room Enter the quantity of each item you have.
Bookcase	=	Box, Large	=
Box, Medium	=	Box, Small	=
Cedar Chest	=	Chair, Arm	=
Chair, Occasional	=	Chair, Overstuffed	=
Chair, Rocker	=	Chair, Straight	=
Curio Cabinet	=	Day Bed	=
Fireplace Equipment	=	Footstool	=
Grandfather Clock	=	Hall Tree, Large	=
Hall Tree, Rack	=	Lamp, Floor	=
Lamp, Pole	=	Large Roll/Pad Rugs	=
Magazine Rack	=	Music Cabinet	=
Piano, Baby Gr/Upr	=	Piano, Bench	=
Piano, Parlor Gr	=	Piano, Spinet/Console	=
Portable Bar	=	Portable Record Player	=
Roll/Pad Rug, Large	=	Roll/Pad Rugs, Small	=
Secretary Desk	=	Sectional Bookshelf	=
SM Winthrop Desk	=	Sofa, 3 Cushion	=
Sofa, 4 Cushion Hide-Away	=	Sofa, Loveseat	=
Sofa, Per Section	=	Sofa, Rattan/Wicker	=
Stereo Component	=	Stereo, Console	=
Table Radio	=	Tables, Coffee	=
Tables, Dropl/Occasional	=	Tables, End	=
Telephone Stand	=	Trunk	=
TV Stand	=	TV, Combination	=
TV, Console	=	TV, Portable	=
TV, Table Model	=	–	–
Dining Room Enter the quantity of each item you have.
Base Buffet	=	Box, Dish Pack	=
Box, Large	=	Box, Medium	=
Box, Small	=	Corner Cabinet	=
Dining Chair	=	Dining Table	=
Harvest Bench	=	Rugs, Large or Pad	=
Rugs, Small Pad	=	Server	=
Tea Cart	=	Top Hutch	=
Bedroom Enter the quantity of each item that you have.
Bed, Bunk (Set of 2)	=	Bed, King	=
Bed, Queen	=	Bed, Rollaway	=
Bed, Single/Hollywood	=	Bed, Standard Double	=
Bed, Waterbed Base	=	Bookshelves Section	=
Box, Large	=	Box, Medium	=
Box, Small	=	Box, Wardrobe	=
Chair, Boudoir	=	Chest, Rocker	=
Dresser /Vanity Bch	=	Dresser, Double	=
Dresser, Single	=	Dresser, Triple	=
Night Table	=	Rug, Large	=
Rug, Small	=	SM / Winthrop Desk	=
Wardrobe, Large	=	Wardrobe, Small	=
Nursery Enter the quantity of each item you have.
Baby Crib	=	Bathinette	=
Bed, Youth	=	Box, Large	=
Box, Medium	=	Box, Small	=
Chair, Child’s	=	Chair, High	=
Chest	=	Child’s table	=
Large, Rug	=	Playpen	=
Rug, Small	=	Toy Chest	=
Appliances Enter the quantity of each item that you have.
AirConditioner Large	=	AirConditioner Small	=
Dehumidifier	=	Diswasher	=
Dryer	=	Freezer 10 or less	=
Freezer 11 or 15	=	Freezer 16 or Over	=
Range, 20″ Wide	=	Range, 30″ Wide	=
Range, 36″ Wide	=	Refrigerator(CuCp) 6cu. ft. or less	=
Refrigerator(CuCp) 7 to 10 cu.ft.	=	Trash Compactor	=
Vacuum Cleaner	=	Washing Machine	=
Kitchen Enter the quantity of each item that you have.
Box, Dish-Pack	=	Box, Large	=
Box, Medium	=	Box, Small	=
Breakfast Suite, Chairs	=	Breakfast Table	=
Chair, High	=	Kitchen Cabinet	=
Microwave Oven	=	Serving Cart	=
Stool	=	Table	=
Utility Cabinet	=	–	–
Porch and Outdoor Enter the quantity of each item that you have.
BBQ Grill Large	=	BBQ Grill Small	=
Chairs, Aluminum	=	Chairs, Metal	=
Chairs, Wood	=	Garden Hose & Tools	=
Glider or Settee	=	Ladder, 6′ Step	=
Ladder, 8′ Metal	=	Ladder, Extension	=
Lawn Mover, Hand	=	Lawn Mover, Power	=
Lawn Mover, Riding(HP)	=	Lawn Roller	=
Leaf Sweeper	=	Outdoor Child Gym	=
Outdoor Child Slide	=	Outdoor Dry Racks	=
Outdoor Swings	=	Picnic Bench	=
Picnic Table	=	Rug, Large	=
Rug, Small	=	Sand Box	=
Spreader	=	Table, Large	=
Table, Small	=	Umbrella	=
Whellbarrow	=	–	–
Misc. Enter the quantity of each item that you have.
Baby Carriage	=	Bicycle	=
Bowling Ball and Bag	=	Bowling Ball/Bag	=
Box, Large	=	Box, Medium	=
Box, Small	=	Card Table	=
Child’s Wagon	=	Clothes Basket	=
Clothes Hamper	=	Fan	=
Fern/Plants Stands	=	Filing Cabinet 2 doors	=
Filing Cabinet 4 door	=	Filing Cabinet Cardboard	=
Folding Chairs	=	Folding Cot	=
Footlockers	=	Gas/Electric Heater	=
Golf Bag	=	Metal Shelves	=
Office Desk	=	Pool Table Comp.	=
Pool Table Stand	=	Power Tool Hand	=
Power Tool Stand	=	Sewing Machine Console	=
Sewing Machine Port	=	Sewing Machine with Cabinet	=
Sled	=	Suitcase	=
Table, Game	=	Table, Ping Pong	=
Tackle Box	=	Tire	=
Tire with Rim	=	Toolchest, Large	=
Toolchest, Medium	=	Toolchest, Small	=
Trash Can	=	Tricycle	=
Utility Table	=	Wastepaper Basket	=
Work Bench	=
Approx. Total Cubic Ft. of Items:		Approx. Weight of All Items: lbs.