First Name:
Last Name:
Email Address:
Home Phone:
Business Phone:
Mobile:
Pick Up Address
Address:
Suburb/Town:
State:
Post Code:
Country:
Pickup Address Access Details
Driveway:
Distance from Entry point to removal van:
What level is your unit/flat on:
Does your unit/flat have a lift:
Delivery Address
Address:
Suburb/Town:
State:
Post Code:
Country:
Delivery Address Access Details:
Driveway:
Distance from Entry point to removal van:
What level is your unit/flat on:
Does your unit/flat have a lift:
Moving Date
We wish to move:
Actual Date (if known):
Packing
Would you like us to assist you with Packing?:
If not, can we assist in providing packing cartons?:
MOVING ITEMS
Bedroom 1
Double/Queen Bed:
Single Bed:
Dble Wardrobe:
Single Wardrobe:
Dressing Table:
Chest Draws:
Tall Boy:
Bedsides:
Chairs:
Stools:
TV:
Portarobes:
Standard Cartons:
Book Cartons:
Picture Cartons:
Double/Queen Bed:
Single Bed:
Dble Wardrobe:
Single Wardrobe:
Dressing Table:
Chest Draws:
Tall Boy:
Bedsides:
Chairs:
Stools:
TV:
Portarobes:
Standard Cartons:
Book Cartons:
Picture Cartons:
Double/Queen Bed:
Single Bed:
Dble Wardrobe:
Single Wardrobe:
Dressing Table:
Chest Draws:
Tall Boy:
Bedsides:
Chairs:
Stools:
TV:
Portarobes:
Standard Cartons:
Book Cartons:
Picture Cartons:
Desk:
Fax:
Chair:
Filing Cab. 2-draw:
Filing Cab. 3-draw:
Filing Cab. 4-draw:
Drawing Board:
Cupboard Single:
Cupboard Dble:
Bookcase:
Computer:
Printer:
Standard Cartons:
Book Cartons:
Picture Cartons:
Bedroom 2
Bedroom 3/4
Study
Hall/Entry
Hall Table:
Hall Stand:
Ph. Stand:
Pedestal:
Grandfather Clock:
Standard Cartons:
Book Cartons:
Picture Cartons::
Dining Room
Table:
Chairs:
Mobile Tray:
Buffet:
Side Board:
Crystal Cabinet:
Book Case:
Air Conditioner:
Standard Cartons:
Book Cartons:
Picture Cartons:
Family Room
2 Seater:
Arm Chair:
Divan:
Biliard Table:
Lamp:
Pouffe:
Coffee Table:
Bar:
Bar Fridge:
Bar Stool:
Book case:
TV:
TV Stand:
Video:
Stereo:
Speakers:
Standard Cartons:
Book Cartons:
2 Seater:
3 Seater:
Arm Chair:
Divan:
Biliard Table:
Lamp:
Buffet:
Coffee Table:
Bar:
Bar Fridge:
Bar Stool:
Book Case:
TV:
TV Stand:
Video/DVD:
Stereo:
Speakers:
CD Stand:
Piano Grand:
Piano - upright:
Pianola:
China Cabinet:
Book case:
Magazine Tidy:
Picture Cartons:
Lounge
Heater:
Picture/Paintings:
Book Cartons:
Picture Cartons:
Standard Cartons:
Kitchen
Table:
Chairs:
Refrigerator:
Kitchen Dresser:
Pantry Cupboard:
Rubbish Bin:
Microwave:
Freezer:
High Chair:
Standard Cartons:
Book Cartons:
Picture Cartons:
Washing Machine:
Tumble Dryer:
Cupboard Single:
Cupboard Double:
Linen Basket:
Laundry Basket:
Clothes Airier:
Ironing Board:
Standard Cartons:
Book Cartons:
Picture Cartons:
Laundry
Sundries
Sewing Machine:
Sewing Cabinet:
Golf Bag:
Golf Buggy:
Vacuum Cleaner:
Floor Polisher:
Kitchen Steps:
Trunk:
Basket:
Suitcase:
Bench Press:
Weights:
Exercise Bike:
Step Machine:
Trampoline:
Pram Pusher:
Canoe/Kayak:
Surf Board:
Dolls Pram:
Dolls House:
Standard Cartons:
Book Cartons:
Picture Cartons:
Outside
Rubbish Bin:
Wheelie Bin:
Wheel Barrow:
Mower & Catcher:
Whipper Snipper:
Garden Tools:
Garden Seat:
Plastic Stack Chairs:
Other Chairs:
Plastic Table:
Other Tables:
Bicycle:
Dog Kennel:
Garden Shed (dism):
Welder:
Camping Gear:
Trolley BBQ:
Sml BBQ:
Door Mat:
Garden Hose:
Plants - 10cm pots:
Plants - 20cm pots:
Plants - 30cm pots:
Very Large Pot plants:
Standard Cartons:
Book Cartons:
Picture Cartons:
Other important information: