Quote listing form

Title……………. First Name …………………………………………………………………………………Surname……………………………..……………………………………………………….….

Uplift Address No …………… Street……………………………………………….Town……………………………P/Code……………………..State ………………………………………..

Uplift Contact Ph ……………………………………………………………..…. 2nd ……………………………………………………………………3rd...... ……

Email Address……………………………………………………………………………………………………………………………………………………………………………………………………………..

Type of building – select one - house – townhouse – unit – apartment building – Storage unit – Warehouse

Access – kerbside Street / or Driveway Stairs Y/N how many ….. - Internal staircases Y/N how many levels ………………..

Delivery Address No…………………………..Street……………………………………………..Town…………………………P/Code………………………State……………………………….…...

Del Contact Ph……………………………………………………………………2nd………………………………………………………………………3rd……………………………………………………....

Type of building – select one - house – townhouse – unit – apartment building – Storage unit – Warehouse - ………………………………………………………………………..

Access – kerbside Street / or Driveway Stairs Y/N how many ….. - Internal staircases Y/N how many levels ………………..

Prefered Dates – uplift ………………………………………….………………………… Delivery ……………………………………………………………………………………………………..

Packing by Removalist Y / N - we will assume that all goods will be packed by yourself if nothing noted

Will Storage be needed Y/N Insurance Value $...... Full Ins Y / N Storage Ins Y / N

Comments …………………………………………………………………………………………………………………………………………………………………………………………………………………………………

Bedrooms / 1 / 2 / 3 / 4 / 5 / Lounge / QTY / Kitchen / QTY / Sundries / QTY / Shed / QTY / Garage / QTY
King & Mattress / 2 Seater Lounge / Dishwasher / Baskets / Camping Gear / Adult Bikes
Queen & Mattress / 3 Seater Lounge / Dresser / Beach Umbrella / Concrete Mixer / Car Fridge
Double & Mattress / Armchair / Freezer / Canoe / Cupboards / Car Parts Lrg
Single & Mattress / Beanbag / Fridge / Card Table / Garden Tools / Car Parts Sml
Bunk & Mattress / Bookcase / Hi/Low Chair / Christmas Tree / Ladder / Car Ramps
Bedhead / Bookshelf / Hutch / Crates (Plastic) / Elec Tools -Lrg / Cat Carrier
Bedside Table / CD/DVD St / Microwave / Folding Chairs / Elec Tools -Sml / Esky
Bookcase / Coffee Tbl / Microwave Cab. / Guitar / Mower/Catcher / Fridge/Freezer
Bookshelf / Divan / Pantry / Lazyboy Lounge / Mower- Ride on / Golf Bag
Box/Chest / Entertainment U. / Saucepan Stand / Organ / Tool Chest / Golf Buggy
Chest of Draws / Fan -Std / Stool/Step / Piano - Grand / TV & Stand / Roof Rack
Cupboard / Futon / Table / Piano - Upright / Watering Can / Standard Box
Cheval Mirror / Heater / & Chairs / Pianola / Weedeater / Book/Wine Box
Dressing Table / Lamp -Std / Tidy Bin / Pool Table -Lrg / Welder
Lowboy / Modular/seat / Vege Tidy / Pool Table -Sml / Wheelbarrow
Tallboy / Occ. Tables / Standard Box / Skis / Whipper sn.
Wardrobe / Ottoman/Pouffes / Book/Wine Box / Small Safe / Work Bench / Children Extra / QTY
Water Bed D/Q / Rugs / Picture not boxed / Striped Bags / Standard Box / Child's Bike
Standard Box / Stereo / Suitcases / Book/Wine Box / Child's Car
Book/wine Box / TV Cabinet -Sml / Surfboard / Child's Table
Picture unboxed / TV Cabinet -Lrg / Table Tennis / Doll Cot
Port-A-Robe / TV / Dining / QTY / Windsurfer / Doll House
Sewing Machine / & DVD Player / Aircooler / Trunks / Outside / QTY / Rocking Horse
Sewing Cabinet / Wall Unit / Bar / Antenna / Toy Pram
Standard Box / Bar Fridge / Laundry / QTY / Bins / Trike
Nursery / QTY / Study / QTY / Book/Wine Box / Bar Stools / Air-con Unit / Barbeque / Wading Pool
Trolley / 2dr Filing Cabinet / Picture unboxed / Bookcase / Buckets / Dog Kennel
Baby's Bath / 3dr Filing Cabinet / Hall Area / QTY / Book Shelf / Brooms / Garden Seat
Bassinet / 4dr Filing Cabinet / G/ Father Clock / Buffett / Clothes Airer / Hoses / Gym Equipment / QTY
Change Table / Bookcase / Hall Stand / China Cabinet / Dryer / Pot Plants - Lrg / Exercise Bike
Cot / Bookshelf / Hall Table / Crystal Cabinet / Floor Polisher / Pot Plants - Sml / Treadmill
Playpen / Bureau / Hat Stand / Hutch / Ironing Board / Table / Weight Bench
Port-A-Cot / Computer / Rugs / Other Chair / Laundry Trolley / & Chairs / Weights
Pram / & Monitor/Screen / Phone Table / Sideboard / Linen Basket
Rocking chair / Desk / Planter / Table / Storage Cabinet / Dismantled / QTY / Miscellaneous / QTY
Rugs / Desk Chair / Umbrella Stand / & Chairs / Vacuum / Cubby large / BirdCage -Lrg
Stroller / Printer / Standard Box / Tray Mobile / Wash/Machine / Cubby small / BirdCage -Sml
Toy Box / Rugs / Book/Wine Box / Wine Rack / Standard Box / Garden Shed / Cage/Hutch -Lrg
andard Box / Standard Box / Picture unboxed / Standard Box / Book/Wine Box / Swing Set / Cage/Hutch -Sml
Book/Wine Box / Book/Wine Box / Book/Wine Box / Picture not boxed / Trampoline / Fish Tank -Lrg
Picture not boxed / Picture not boxed / Picture un boxed / Fish Tank -Sml
Item / QTY / Item / QTY / Item / QTY / Item / QTY

Any Extra Items you require moving or any special instructions needed for your move