Breeze Moving Company Quote Form
Any questions please feel free to contact us on 000 000 0000 or email us at email.address@company.co.za
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Phone
Date of Move
*
 /
Month
 /
Day
Year
Date of Move if Known
Address Moving from
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Address moving to
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Addresses: Type in your Unit nr, Suburb, Region, Province and Postcode:
Please check the items that's Relevant to collection address :
*
Freestanding House
Apartment
Complex
Other
Please check the items that's Relevant to delivery address:
*
Freestanding House
Apartment
Complex
Other
Number of Stories at Collection
*
Please Select
Ground Floor
1
2
3
4
Other
Number of Stories
What are the Tonnage restrictions at Collection
*
Please Select
No Restrictions
3 Tonne
3.5 Tonne
5 Tonne
8 Tonne
Other
Truck weight restrictions
Number of Stories at Delivery
*
Please Select
Ground Floor
1
2
3
4
Other
Number of Stories
What are the Tonnage restrictions at Delivery
*
Please Select
No Restrictions
3 Tonne
3.5 Tonne
5 Tonne
8 Tonne
Other
Truck weight restrictions
Please check the items that you would like extra services for:
Full Pack and wrap
Fragile wrapping
Storage
All Risk insurance
Dismantling
Not Applicable
Type in Value of your items if you prefer All risk insurance
Back
Next
INVENTORY FORM
ENTRANCE HALL
TYPE IN THE QUANTITY OF EACH ITEM YOU WANT MOVED
Chair
Grandfather Clock
Coat stand | Tel Table | Ent Hall Table
Halfmoon | Corner Table
DINING ROOM
TYPE IN THE QUANTITY OF EACH ITEM YOU WANT MOVED
Cabinet
Dining Room Table
Dining Room Chairs
Liquor Cabinet | Wine Rack
Server | Side Board | Buffet
Bar Unit
STUDY | OFFICE
TYPE IN THE QUANTITY OF EACH ITEM YOU WANT MOVED
Office Desk
Office Chair
L Shaped Office Desk
Printer
Room Divider
Credenza
Easel | Drawing board | Float Shelves
Bookcase | Filling Cabinet
FAMILY ROOM
TYPE IN THE QUANTITY OF EACH ITEM YOU WANT MOVED
Exercise bike
Treadmill
All in one Gym
Pool Table
Piano Grand
Piano Upright
Back
Next
LOUNGE
TYPE IN THE QUANTITY OF EACH ITEM YOU WANT MOVED
1 Seater Couch
2 Seater Couch
3 Seater Couch
Wingback | Arm Chair
TV Flatscreen
Carpet
TV Cabinet
Standing Lamps
L Shaped Couch | Day Bed | Fouton
BEDROOMS
TYPE IN THE QUANTITY OF EACH ITEM YOU WANT MOVED
Single Bed
Double Bed
Queen bed
King Bed
Headboard
Pedestal
Bedside Tables
Chest of Drawers
Dressing Table
Wardrobe
Kist | Toybox
Cot | Compactum
KITCHEN | APPLIANCES
TYPE IN THE QUANTITY OF EACH ITEM YOU WANT MOVED
Stove
Microwave
Dishwasher
Washing Machine
Tumble Dryer
Fridge Upright
Bar Fridge | kitchen stools
Veggie Rack | Clothes rail
Brooms | Mops | Buckets
Fridge Side by side
Chest Freezer
Butchers Block
Kitchen Cupboard Unit
Vacuum Cleaner
Laundry Basket
Back
Next
GARDEN | GARAGE
TYPE IN THE QUANTITY OF EACH ITEM YOU WANT MOVED
Bicycle | Surfboard
Braai Weber | Gas
Patio Table
Patio Chairs
Patio Coffee Table
Steel Shelving Rack
Concrete Bench | Work Bench
Bird Bath | Statue | Ornaments
Tool Set | Fork | Spade | Hose and Reel
Dog Kennel
Golf Bag | Golf Cart
Roof Rack
Water Feature
Pot Plants Small
Pot Plants Medium
Pot Plants Large
Tool Box | Trunk
Wheel Barrow
Lawn Mower | Weedeater
Back
Next
OTHER ITEMS OF RELEVANCE
TYPE IN THE QUANTITY OF EACH ITEM YOU WANT MOVED
Boxes Small
Boxes Medium
Boxes Large
Suitcases
Plastic Crates
Plastic Bin Bags
Pictures | Mirrors
Please list any items you want moved that has not been supplied in the list attached
Please check the below if your Items are classified as Antique, Glass or Extra Sized:
Antiques
Extra ordinary sizes
Glass Items
Not applicable
Other
Please list the items as advised above:
If you are unsure of an item and don't know how to specify it please upload a picture of the item here:
Browse Files
Drag and drop files here
Choose a file
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of
Cubic Ft Total
Submit
For Office use only
Collection Address:
Delivery Address:
( Volume )
Total CFT of Coat
Total CFT of chair
Total CFT of Corner
Total CFT of Grandfather
cft of single bed
cft of double bed
cft of Queen bed
cft of king bed
cft of headboard
cft of pedestal
cft of boxes Small
cft of boxes Med
cft of boxes large
cft of suitcase
cft of plastic crate
cft of plastic bin bags
cft of pictures
Total Cft of Other Items
cft of bedside table
cft of chest of drawers
cft of dressing table
cft of wardrobe
cft of kist | Toybox
cft of Cot| Compactum
Total cft of Bedrooms
Total Cft entrance Hall
Total cft Dining Chairs
Total cft Dining Room Table
Total cft Cabinet
Total cft liquor Cab
Total cft bar unit
Total cft Server
Total DINING ROOM
cft of bookcase
cft of Office desk
cft of L shape desk
cft of printer
cft of easel
cft of Room divider
cft of credenza
cft of office chair
cft of all in one gym
cft of Exercise bike
cft of piano grand
cft of pool table
cft of 1 seater
cft of 3 seater
cft of 2 seater
cft of L shape couch
cft of wingback
cft of TV
cft of carpet
cft of standing lamp
cft of piano upright
cft of TV Cabinet
cft of treadmill
Total Cft of Study
Total Cft of Family room
Total CFT of Livingroom
cft of laundry basket
Total CFT of Kitchen
cft of stove
cft of microwave
cft of dishwasher
cft of washing machine
cft of tumble dryer
cft of fridge upright
cft of fridge side by side
cft of chest Freezer
cft of Brooms | Mops
Cft of Butchers block
cft of Bar Fridge | Kitchen stools
Cft of Veggie Rack
Cft of Kitchen cupboard
cft of vacuum cleaner
Total Cft of Garden
cft of bicycle | Surfboard
cft of braai Weber
cft of Patio Table
cft of patio chairs
cft of patio coffee table
cft of concrete bench
cft of steel shelving rack
cft of bird bath
cft of dog kennel
cft of Golf bag
cft of roof rack
cft of water feature
cft of pot plants small
cft of pot plants Medium
cft of pot plants large
cft of tool box | trunk
cft of tool set
cft of lawnmower
cft of wheel barrow
Should be Empty: