Relocation Estimator Form
Name
*
First Name
Last Name
Email
*
example@example.com
Telephone Number
*
Services Required
Storage
Furniture Dismantle/Reassembly
Removal Carton Pre-Pack
Removal Carton Un-Pack (available with Pre-Pack Svs)
Cleaning
Disposal/Rubbish Removal
Preferred Pick-up Date
*
Pick-up/Uplift Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Describe Access
House
Unit or Apartment
Other
How many Levels
Describe any access details e.g. steep/battle-axe/within complex etc.
Preferred Delivery Date
Delivery Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Describe Access
House
Unit or Apartment
Other
How many Levels
Describe any access details e.g. steep/battle-axe/within complex etc.
ITEMS FOR RELOCATION
Additional notes can be added at the end of the form
Bedrooms/Study
Quantity
Bed - King
Bed - King Sleigh or with Drawers
Bed - King Gas Lift
Bed - Queen/Double
Bed - Queen Double Sleigh or with Drawers
Bed - Queen/Double Gas Lift
Bed - Single
Bed - King Single
Bed - Trundle
Bed - Day Bed
Bed - Standard Bunk
Bed - Cabin Bunk or Complex Bunk
Bed - Folding
Bedside Table Chest - Ave
Bedside Table Chest - Lge
Blanket Box
Bookcase - Sml
Bookcase - Med
Bookcase - Lge
Chair - Standard
Chair - Sml Armchair or Rocker
Chest of Drawers - Ave
Chest of Drawers - Tallboy/Lge
Desk - Small/Study
Desk - Ave
Desk - Lge
Desk - Sit/Stand
Desk Chair
Dressing Table
Filing Cabinet - 2 Drawer
Filing Cabinet - 3 Drawer
Filing Cabinet - 4 Drawer
Lamp - Sml/Bedside
Lamp - Ave
Lamp - Standing
Mirror - Cheval
TV - Sml
TV - Med
TV - Lge
Wardrobe - Freestanding
Lounge/Family
Quantity
Armchair - Standard
Armchair - Recliner or Electric
Bean Bag
Billiard Table - Ave non-slate
Billiard Table - Slate
Bookcase - Sml
Bookcase - Med
Bookcase - Lge
China Cabinet
Coffee Table - Sml
Coffee Table - Med
Coffee Table - Lge
Fan
Heater
Lamp - Ave
Lamp - Standing
Couch - 2 Seat
Couch - 3 Seat
Couch - 4 Seat
Couch - Sofa Bed
Lounge Suite - L Sml
Lounge Suite Modular - Ave
Piano - Standard Upright
Piano - Grand
Piano - Electric
Piano Stool
Sideboard or Cabinet
TV - Sml
TV - Med
TV - Lge
TV Cabinet/Table - Sml
TV Cabinet or Lowline - Ave
TV Cabinet or Lowline - Lge
Wall Unit or Buffet - Ave
Dining
Quantity
Dining Chair
Dining Table
Sideboard or Cabinet
Traymobile
Wall Unit/Buffet Hutch - Ave
Wall Unit/Buffet Hutch - Lge
Kitchen
Quantity
Freezer
Fridge - Ave
Fridge - 2 door/side by side
Kitchen Chair
Kitchen Table
Kitchen Tidy/Trolley
Microwave
Cupboard - Freestanding
Laundry
Quantity
Brooms/Mops
Bucket/Basket
Clothes Airer
Dryer
Ironing Board
Laundry Cupboard - Freestanding
Laundry Trolley
Steam Mop
Washing Machine - Front Load
Washing Machine - Top Load
Steam Mop
Hall
Quantity
Hall Stand
Hall Table
Hat/Coat Stand
Occassional Table
Ornament - Ave
Childrens
Quantity
Bassinette/Cradle
Change Table
Cot - Must be Dismantled
Pram
Toy Box
Toy - Med
Toy - Lge
Sundry/Other
Quantity
Airconditioner - Ave
Bird Cage - Ave
Camping Equipment - Ave
Dishwasher
Exercise Equipment - Treadmill/Bike etc.
Fish Tank - Ave
Golf Bag
Golf Buggy
Guitar
Keyboard/Stand
Pot Plant - Ave
Pot Plant - Artificial
Pot Plant - Lge
Rug - Ave
Rug - Lge
Wine Rack
Outdoor/Shed/Garage
Quantity
BBQ - Ave
BBQ - Portable/Webber
Bench Seat
Bike - Adult
Bike - Child
Cafe Set (e.g. wrought iron table/2 chairs)
Garden Hose
Garden Tools (Bundle of 4)
Garden Umbrella
Ladder - Step
Ladder - Standard
Ladder - Extension/Lge
Lawn Mower
Lawn Mower - Electric
Outdoor Table
Outdoor Chair - Stackable
Outdoor Chair - Non Stackable
Outdoor Couch
Outdoor Coffee Table
Pot - Empty
Pot Plant - Ave
Pot Plant - Large
Toolbox - Ave
Toolbox - Large
Trampoline - Dismantled
Wheelbarrow
Workbench
Garage Shelving
Removal Cartons
Quantity
Book/Fragile Carton
Standard - Tea Chest Carton
Portarobe Carton
Picture/Painting/Mirror
Other Cartons / Not Recommended and may not be suitable for transit
Quantity
Non-Removal Carton - Sml
Non-Removal Carton - Med
Non-Removal Carton - Lge
Plastic Tub - Sml
Plastic Tub - Med
Plastic Tub - Lge
Stripey Bag
Suitcase/Carrybag
Please advise of any additional items not listed or if items are non-standard. Or, ask a question...
Please upload any images that would assist with your estimate:
How did you hear about us
Word of Mouth/Recommendation
Have moved with Leader before
Signage/Trucks
Internet Search
Local Search
Riot Act / Region
Social Media
Other
Submit
Should be Empty: