Name
Address
Delivery Address
Approx Date of Move
Phone
Fax
Email
Insurance
Insurance Amount
House Type
Kitchen - Cabinet
Kitchen - Dishwasher
Kitchen - Dresser
Kitchen - Freezer
Kitchen - Fridge
Kitchen - Highchair
Kitchen - Chair
Kitchen - Table
Kitchen - Microwave Oven
Kitchen - Stool
Kitchen - Tidy Bin
Kitchen - Cartons (Standard)
Kitchen - Cartons (Books)
Kitchen - Cartons (Pictures)
Kitchen - 1st Extra Item (Please include description and quantity)
Kitchen - 2nd Extra Item (Please include description and quantity)
Kitchen - 3rd Extra Item (Please include description and quantity)
Dining Room - Air Cooler
Dining Room - Billiard Table
Dining Room - Bookcase
Dining Room - Buffet / Sideboard
Dining Room - Capet / Mats
Dining Room - Carver Chair
Dining Room - Chair Other
Dining Room - Cocktail Cabinet
Dining Room - China Cabinet
Dining Room - Dining Chairs
Dining Room - Dining Table
Dining Room - Fan
Dining Room - Stereo
Dining Room - Traymobile
Dining Room - Cartons (Standard)
Dining Room - Cartons (Books)
Dining Room - (Pictures)
Dining Room - 1st Extra Item (Please include description and quantity)
Dining Room - 2nd Extra Item (Please include description and quantity)
Dining Room - 3rd Extra Item (Please include description and quantity)
Hall - Coat Rack
Hall - Dropside Table
Hall - Glory Box
Hall - Grandfather Clock
Hall - Hall Stand
Hall - Table
Hall - Pedestal
Hall - Phone Table
Hall - Cartons (Standard)
Hall - Cartons (Books)
Hall - (Pictures)
Hall - 1st Extra Item (Please include description and quantity)
Hall - 2nd Extra Item (Please include description and quantity)
Hall - 3rd Extra Item (Please include description and quantity)
Bedroom - King Size Bed
Bedroom - Queen Size Bed
Bedroom - Double Bed
Bedroom - Single Bed
Bedroom - Folding Bed
Bedroom - Water Bed
Bedroom - Bedside Table
Bedroom - Bookcase
Bedroom - Bouncinette
Bedroom- Box or Chest
Bedroom - Carpet or Lino
Bedroom - Chair
Bedroom - Change Table
Bedroom - Chest of Drawers
Bedroom - Cot
Bedroom - Cupboard
Bedroom - Desk
Bedroom - Divan / Settee
Bedroom - Dressing Table
Bedroom - Headboard
Bedroom - Lamp
Bedroom - Lowchair
Bedroom - Lowboy
Bedroom - Mirror
Bedroom - Playpen
Bedroom - Pram
Bedroom - Rocking Chair
Bedroom - Stool
Bedroom - Stroller
Bedroom - Suitcase
Bedroom - Trunk
Bedroom - Tallboy
Bedroom - TV
Bedroom - Wardrobe
Bedroom - Cartons (Standard)
Bedroom - Cartons (Books)
Bedroom - Cartons (Pictures)
Bedroom - Port-A-Robes
Bedroom -1st Extra Item (Please include description and quantity)
Bedroom - 2nd Extra Item (Please include description and quantity)
Bedroom -3rd Extra Item (Please include description and quantity)
Lounge - 3 Seater Lounge
Lounge - 2 Seater Lounge
Lounge - Arm Chair
Lounge - Bar
Lounge - Bar Fridge
Lounge - Bean Bag
Lounge - Bookcase
Lounge - Bureau
Lounge - Candle Stand
Lounge - Carpet / Rug
Lounge - CD Stacker
Lounge - Chair (Other)
Lounge - China Cabinet
Lounge - Coffee Table
Lounge - Desk
Lounge - Divan/Settee
Lounge - Entertainment Unit
Lounge - Heater
Lounge - Lampstand
Lounge - Lounge Suite
Lounge - Magazine Rack
Lounge - Occasional Table
Lounge - Organ
Lounge - Piano
Lounge - Pouffes
Lounge - Radiogram
Lounge - Recliner
Lounge - Rugs
Lounge - Smoker Stand
Lounge - Speakers
Lounge - Standard Lamp
Lounge - Stereo
Lounge - Stereo Cabinet
Lounge - TV Large
Lounge - TV Small
Lounge - VCR
Lounge - Wall Unit
Lounge - Wine Rack
Lounge - Cartons (Standard)
Lounge - Cartons (Books)
Lounge Cartons (Pictures)
Lounge - Cartons (Lamp Shades)
Lounge - 1st Extra Item (Please include description and quantity)
Lounge - 2nd Extra Item (Please include description and quantity)
Lounge - 3rd Extra Item (Please include description and quantity)
Study - Bookcase Large
Study Bookcase Small
Study - Chair
Study - Computer
Study - Cupboard
Study - Desk
Study - Drawing Board
Study - Filie Cabinet (3 Draws)
Study - Filie Cabinet (2 Draws)
Study - Filie Cabinet (1 Draws)
Study - Shelving
Study - Stool
Study - Cartons (Standard)
Study - 1st Extra Item (Please include description and quantity)
Study - Cartons (Pictures)
Study - 1st Extra Item (Please include description and quantity)
Study - 2nd Extra Item (Please include description and quantity)
Study - 3rd Extra Item (Please include description and quantity)
Laundry - Airer
Laundry - Broom / Mops / Etc
Laundry - Cabinet (Small)
Laundry - Clothes Dyer
Laundry - Cupboard
Laundry - Ironing Board
Laundry - Laundry Basket
Laundry - Laundry Trolley
Laundry - Linen Basket
Laundry - Sewing Machine
Laundry - Sewing Machine Cabinet
Laundry - Stool
Laundry - Table
Laundry - Washing Machine
Laundry - Cartons (Standard)
Laundry - Cartons (Books)
Laundry - Cartons (Pictures)
Laundry - 1st Extra Item (Please include description and quantity)
Laundry - 2nd Extra Item (Please include description and quantity)
Laundry - 3rd Extra Item (Please include description and quantity)
Outside / Sundries - Antenna
Outside / Sundries - Barbeque
Outside / Sundries - Basketball Hoop
Outside / Sundries - Beach Umbrella
Outside / Sundries - Camping Gear
Outside / Sundries - Car Ramps
Outside / Sundries - Card Table
Outside / Sundries - Child Chairs
Outside / Sundries - Chairs
Outside / Sundries - Child's Table
Outside / Sundries - Compost Bin
Outside / Sundries - Cupboard
Outside / Sundries - Doll House
Outside / Sundries - Drums
Outside / Sundries - Esky
Outside / Sundries - Fish Basket
Outside / Sundries - Fish Tank
Outside / Sundries - Fishing Rods
Outside / Sundries - Folding Chair
Outside / Sundries - Folding Lounge
Outside / Sundries - Garden Roller
Outside / Sundries - Garden Shed
Outside / Sundries - Garden Seat
Outside / Sundries - Garden Setting
Outside / Sundries - Garden Tools
Outside / Sundries - Golf Bag
Outside / Sundries - Golf Buggy
Outside / Sundries - Guitar
Outside / Sundries - Gym Set
Outside / Sundries - Kennel
Outside / Sundries - Ladder
Outside / Sundries - Mower & Catcher
Outside / Sundries - Outdoor Setting
Outside / Sundries - Pedal Car
Outside / Sundries - Playgym
Outside / Sundries - Pot Plants
Outside / Sundries - Scooter
Outside / Sundries - Shelves
Outside / Sundries - Skis
Outside / Sundries - Swing Set (Dismantled)
Outside / Sundries - 2nd Extra Item (Please include description and quantity)
Outside / Sundries - Trampoline
Outside / Sundries - Trike
Outside / Sundries - Table
Outside / Sundries - Welder
Outside / Sundries - Welder
Outside / Sundries - WheelBarrow
Outside / Sundries - Windsurfer
Outside / Sundries - Workbench
Outside / Sundries - Cartons (Standard)
Outside / Sundries - Cartons (Books)
Outside / Sundries - Cartons (Pictures)
Outside / Sundries - Port-a-Robe
Outside / Sundries - Bird Cage & Stand
Outside / Sundries - Horse
Outside / Sundries - Surf Board
Outside / Sundries - Whipper Snipper
Outside / Sundries - 1st Extra Item (Please include description and quantity)
Outside / Sundries - 2nd Extra Item (Please include description and quantity)
Outside / Sundries - 3rd Extra Item (Please include description and quantity)