Full Name
*
First Name
Last Name
E-mail Address
*
Contact Number
*
Prefered Moving Date
/
Day
/
Month
Year
Date
Is this Date Flexible?
Yes
No
Do you Require Storage?
Yes
No
Current Address (Moving From)
Street Address
City
State
Postcode
New Address (Moving To)
Street Address
City
State
Postcode
Are there any Stairs at either Location?
Yes
No
How Many Bedrooms?
1 Bedroom
2 Bedroom
3 Bedroom
4 Bedroom
5 Bedroom
6 Bedroom
More
How many bedrooms?
Do you have any Antique/Fragile Items?
Yes
No
Please Specify
How do you Plan to Pay for your move?
Cash
EFT
Invoice
Eftpos
Do any of the Following apply to either Locations?
Double Story or More?
Steep Driveway?
Space issues?
Service elevators/stairways needed to be used?
Unsafe conditions such as broken steps or building construction?
Any Access Issue's?
Other Comments you wish to add or advise us about the access etc?
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Please Select sizes of all Beds:
King
Queen
Double
King Single
Single
Bunk Bed
Cot
Total Amount of Beds?
1
2
3
4
5
6
7
8
9
10
Bed Side Table's?
Qty for all rooms
Tallboys/Sets of Draws
Qty for all Rooms
Chests/Blanket Box
Qty for all Rooms
Wardrobe's
Qty for all Rooms
Please Specify the mesurements of the Wardrobes
H x W x Lcm
Mirror's
Qty for all Rooms
Fridge/Freezer
Qty
Microwave
Yes
No
Dinning Table
1-4 Chairs
4-6 Chairs
6-8 Chairs
8-10 Chairs
What is your Dining Table made from?
Eg: Marri, Pine, Glass etc
Pool Table
Yes
No
Piano
Yes
No
Washing Machine
Yes
No
Dryer
Yes
No
Bookcase's
Qty
Please specify Measurements of Bookcase's
L x W x Hcm
Desks
Qty
Please specify Measurements of Desk's
L x W x Dcm
Printer
Yes
No
Filing Cabinet
1 draw
2 Draw
3 Draw
4 Draw
5 Draw
6 Draw
More
Office Chair
yes
No
Computer
Yes
No
Bar Stools
Qty
Buffet/Side Table
Qty
Please specify Measurements of Buffet/Side Table's
L x W x Hcm
Lounge/Couch
Single Recliner/Arm Chair
2 Seater
3 Seater
4 Seater
Modular Lounge
L Shape
Sofa Bed
Other
Coffee Table?
Yes
No
T.V
Qty for all Rooms
T.V Unit
Qty for all Rooms
Please specify Measurements of TV Unit
L x W x Dcm
Kitchenette
Yes
No
Display Cabinet
Qty
Please Specify Display Cabinet Measurments
LxWxHcm
Gym Equipment
Please Specify
Tools/Garden Tools or Shed Contents?
Please Specify
Trampoline/Outdoor Play Equipment
Yes
No
Please Specify
Eg: Trampoline or Swing Set
Outdoor Setting/Table
1-4 chairs
4-8 Chairs
More
Indoor/Outdoor Plants
Qty
Total Number of Boxes
Qty for all Rooms
Other Items not listed above?
Any Items NOT Listed above
We would love to hear how you heard about us?
Family/Friend
Radio
Facebook
Newspaper
Google/Website
Road Signs
Other
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By clicking this button you agree that you have informed us of all the belongings that need to be moved. You also acknowledge that if there is more Items/Belongings when the truck arrives that is not listed on the form you can, 1) Be charged extra, or 2) We can refuse to take the extra items not listed on your form.
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