• This form must be submitted at least 14 working days prior to your move.

  • Quotations are valid for 30 days maximum (subject to change), to be noted against removal date.

  • Please be as detailed as possible with number and size of all articles so we can provide you with an accurate and timely quote.

  • * marks a compulsory item

*Name: *Phone:
*Email: Fax:

Proposed Removal Date:


Removal Address:
Street: Suburb:
State/Country: Postcode:
Accessibility*: No. of Stairs


Accessibility
- That is, how close we get our van, bearing in mind it is 4.3m high, 8m long, 2.5m wide (overall measurements). Please allow for narrow gateways awnings and power lines. Add comments for both removal and delivery addresses in the Accessibility* fields.


Delivery Address:
Street: Suburb:
State/Country: Postcode:
Accessibility*: No. of Stairs
Insurance: Type of Insurance: 
Full insurance via broker only.
No. of Removal Cartons: Cartons to be packed by:
No. of Book Cartons: Household/Company:
No. of Porta-Robes: Storage requirements:
Packing required: Client packing own contents:


Bed Size


Mirror

Headboard Chair
Dressing Table Stool
Bedside Table Lowboy
Box or Chest Portable TV
Chest of Drawers Cartons
Wardrobe Porta Robe
Comments


Bed Size

(Waterbed's must be dismantled before moving day).

Mirror

Headboard Chair
Dressing Table Stool
Bedside Table Lowboy
Book Case Portable TV
Chest of Drawers Cartons
Wardrobe Porta Robe
Box or Chest Extra mattress
Desk Table
Comments


Bed Size


Mirror

Headboard Chair
Dressing Table Stool
Bedside Table Lowboy
Book Case Portable TV
Chest of Drawers Cartons
Wardrobe Porta Robe
Box or Chest Extra mattress
Desk Table
Cot Bassinette & Stand
Playpen Pram
Stroller Divan
Comments


Bed Size


Mirror

Headboard Chair
Dressing Table Stool
Bedside Table Lowboy
Book Case Portable TV
Chest of Drawers Cartons
Wardrobe Porta Robe
Box or Chest Extra mattress
Desk Table
Cot Bassinette & Stand
Playpen Pram
Stroller Divan
Comments


Hall Table


Cartons

Hall Stand Pedestal
Phone Table Grandfather Clock
Glory Box D/Side Table
Carpet Bar
Comments


Desk


Bookcase

Chair Computer
Filing Cabinet Fax machine
Comments


Lounge


Stereo & Speakers

Armchair Piano/Pianola/Grand
Other Chairs Organ
Divan Piano Stool
Standard Lamp China Cabinet
Smoker's Stand Bookcase
Poufs Bookshelves
Coffee Table Magazine Tidy
Occ. Table Heater
Bureau Carpet / Lino
Desk Pictures/Mirrors
TV Lampshade Carton
Cartons Stereo Cabinet
Comments


Table


Bookshelf

Chairs (dining) Other Chairs
Tray mobile Air Cool & Stand
Buffet, sideboard Cartons
Crystal Cabinet Billiard/Pool Table
Comments


Refrigerator (litres)


High Chair

Cabinet Freezer (litres)
Kitchen Table Dishwasher
Kitchen Chairs Microwave
Tidy Cartons
Stools
Comments


Washing Machine (kg)


Laundry Trolley

Brooms etc Drying Cabinet
Ironing Board Cupboard
Table Dryer
Linen Basket Cartons
Comments


Bins


Wading Pool

Wheelbarrow Workbench
Garden Tools Outdoor Antenna
Garden Seat Fold Chairs
Chairs with arms Fold Lounge
Table Esky
Table Tennis Table Surfboard
Trike Outboard Motor
Bicycle Timber/Bricks etc.
Child's Table & Chairs Large Pot Plants
Child's Car Dog Kennel
Ladder Motorbike
Swing (to be dismantled) Cartons
Comments


Sewing Machine


Trunks

Port. S. Mach. Suitcases
Golf Bag Boxes / Cartons
Golf Buggy Toys
Polisher BBQ
Vacuum Cleaner Camping Equipment
Comments
ð
I have completed the list and agree that it represents a true inventory of goods for which I request a quotation without obligation. Please check the list thoroughly, as any items not listed may incur additional charges