Quote

Sections 1, 2, 3 & 4 - *Required Areas - To be fully completed ( type n/a for areas not applicable )

Section 5 - Complete only applicable areas

1. Your Details* (Must Be Completed)

Name*

Pick Up Date* (dd/mm/yy)

2. Pick Up Address* (Must Be Completed)

Address*

Suburb*

State*

Postcode*

Telephone*

Email*

Access Details

House*

Yes

How many external steps?*

How many internal steps?*

Unit*

Yes

Floor number*

Lift available*

Yes

N/A

Number of steps*

Truck Parking*

In Driveway

On Street

Distance from truck (metres)*

3. Delivery Address* (Must Be Completed)

Address*

Suburb*

State*

Postcode*

Telephone*

Email*

Access Details

House*

Yes

How many external steps?*

How many internal steps?*

Unit*

Yes

Floor Number*

Lift Available*

Yes

N/A

Number of steps*

Truck Parking*

In driveway

On street

Distance from truck (metres)*

4. Special Requirements* (Must Be Completed)

Packing Required* (We pack items into cartons)

Yes

Cartons Required* (you pack cartons)

Yes

Special Requirements*
(Large/heavy items, dismantle/assembly, pianos, pool tables)

Extra Services*
(car/pet transport, house cleaning)

5. Inventories

Kitchen/Dining	Quantity
Refrigerator		Microwave	Table
Chairs		Kitchen Tidy	China Cabinet
Dinner Wagon		Bookcase	Sideboard
Stools		Large Hi Fi Cab	Freezer

Lounge/Family	Quantity
Easy Chair		Foot Stool	China Cabinet
Wall Unit		Bookcase	TV
DVD/Video		Hi Fi Stereo	Occ Table
Piano		Chairs/Stools	3 Seater
2.5 Seater		2 Seater	Sofa Bed
Large TV Cabinet		Small TV Cabinet	Large Hi Fi Cabinet
Small Hi Fi Cab

Hallway	Quantity
Occ Tables		Bookcase	Pictures
Mirrors

Bedrooms	Quantity
King Bed		Queen Bed	Double Bed
Single Bed		Water Bed	Cot
Bedside Cabinet		Dressing Table	Chest of Drawers
TV		Chest/Glory Box	Bookcase
Chairs/Stools		Change Table	Desk

Study/Rumpus	Quantity
Desk		Computer Table	Chairs/Stools
Bookcase		Filing Cabinet	Computers
Scanner		Printer	Photocopier
Sewing Machine		Rowing Machine	Treadmill
Exercise Bike		Weight Bench

Laundry	Quantity
Washing Machine		Clothes Dryer	Clothes Basket

Garage/Garden	Quantity
Mower/Edger		Wheelbarrow	Ladder
Workmate		Workbench	Tool Boxes
Bicycles		Golf Clubs	Deck Chairs
Outdoor Table		Outdoor Chairs	BBQ
Patio Heater		Garden Hose	Leaf Blower
Eskies		Suitcases

Sundry Items	Quantity
Sewing Machine		Vaccuum Cleaner	Ironing Board
Pot Plants		Pictures	Rugs
Mirrors		Dehumidifier	Table Lamp
Heater		Floor Lamp
Trunks

Sundry Items	No. of Cartons
Crockery		Glassware	China/Crystal
Ornaments		Pots & Pans	Kitchens Sundries
Food		Silverware	Linen
Bedding		Clothing	Footwear
Books		Files & Papers	CD's & DVD's
Video Tapes		Alcohol & Wine	Toiletries
Toys		Games	Cushions
Photographs		Cleaning Materials