Personal Details First Name* Last Name* Email Address* Employer Business PH Home PH Mobile PH Pickup Address Address Suburb/Town* State Post Code Country Access details Driveway What level is the flat/unit on? Distance from entry point to removalist van Do the units/flats have a lift? Delivery Address Address Suburb/Town* State Post Code Country Access details Driveway What level is the flat/unit on? Distance from entry point to removalist van Do the units/flats have a lift? Date of Move 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? Bedroom 1 Double/Queen Bed Single Bed Double Wardrobe Single Wardrobe Dressing Table Chest of Drawers Tall Boy Bedsides Chairs Stools TV Portarobes Standard Cartons Book Cartons Picture Cartons Bedroom 2 Double/Queen Bed Single Bed Double Wardrobe Single Wardrobe Dressing Table Chest of Drawers Tall Boy Bedsides Chairs Stools TV Portarobes Standard Cartons Book Cartons Picture Cartons Bedroom 3/4 Double/Queen Bed Single Bed Double Wardrobe Single Wardrobe Dressing Table Chest of Drawers Tall Boy Bedsides Chairs Stools TV Portarobes Standard Cartons Book Cartons Picture Cartons Study Desk Fax Chair Filing Cabinet 2-drawer Filing Cabinet 3-drawer Filing Cabinet 4-drawer Drawing/White Board Cupboard Single Cupboard Double Bookcase Computer Printer Standard Cartons Book Cartons Picture Cartons Hall/Entry Hall Table Hall Stand Phone Stand Pedestal Grandfather Clock Book Case 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 Two Seater Arm Chair Divan Billiard Table Lamp Pouffe Coffee Table Bar Bar Fridge Bar Stool Book Case TV TV Stand/Cabinet Video/DVD/PVR/Set top Box Stereo Speakers Computer/Printer Desk Standard Cartons Book Cartons Picture Cartons Lounge Two Seater Three seater Arm Chair Divan Billiard Table Lamp Buffet Coffee Table Bar Bar Fridge Bar Stool Book Case TV TV Stand/Cabinet Video/DVD/PVR/Set Top Box Stereo Speakers CD Stand Piano - Grand Piano - Upright Pianola China Cabinet Magazine Tid Heater Computer Printer Desk Standard Cartons Book Cartons Picture Cartons Kitchen Table Chairs Refridgerator Kitchen Dresser Pantry Cupboard Rubbish Bin Microwave Freezer High Chair Standard Cartons Book Cartons Picture Cartons Laundry Washing Machine Tumble Dryer Cupboard Single Cupboard Double Linen Basket Laundry Basket Clothes Airer Ironing Board Freezer/Fridger Standard Cartons Book Cartons Picture Cartons Sundries Sewing Machines Sewing Cabinet Golf Bag Golf Buggy Vacuum Cleaner Floor Polisher Kitchen Steps Trunk Basket Suitcase Bench Press Weights Exercise Bike Step Machine Trampoline Pram Stroller Change Table Cot Canoe Surf Board Dolls Pram Dolls House Standard Cartons Book Cartons Picture Cartons Outside Rubbish Bin Wheely Bin Wheel Barrrow Mower & Catcher Whipper Snipper Garden Tools Garden Seat Plastic Stack Chairs Other Chairs/Seats Plastic Table Other Tables Bicycles Dog Kennel Garden Shed (dismantled) Welder Camping Gear Trolley BBQ Small BBQ Door Mat Garden Hose Pot Plants - small pots Pot Plants - medium pots Pot Plants - large pots Pot Plants - very large pots Standard Cartons Book Cartons Picture Cartons Total cubic metres Other Items Other items not covered above (please indicate quantity, location and a short description) Other Important Factors Please indicate if we can help you with any arrangements, such as accommodation or packing. Also, please tell us if there's anything else we should know about your move. Confidentiality Although every effort is made to protect the privacy of your move and we never disclose personal information, it is possible that in attempting to contact you, other parties may become aware of your move against your wishes. Therefore, in this context, if confidentiality is important, please indicate and provide a contact number that will only be answered by you or authorised parties. Is this move confidential? If yes, please indicate a confidential number that should be used to contact you
