FAX QUOTATION

1.YOUR DETAILS PLEASE: Please include your fax number. NAME: PHONE No: FAX No:   EMAIL: Removal Plan Required: ______________________ UPLIFT ADDRESS: Post Code: DELIVERY ADDRESS: Post Code: Pre-Pack Date:   Uplift Date: Deliver Date: Uplift Access: Del. Access: 3. If either address is outside of Town Area, please give details (if possible) of: Distance from town Type of road surface 4. PACKING REQUIREMENTS: Do you require packing? Do you require unpacking? If packing / unpacking is required please indicate below the items you require packed / unpacked LINEN: PACK UNPACK   KITCHEN UTENSILS: PACK UNPACK   CLOTHING: PACK UNPACK   PICTURES: PACK UNPACK   GLASSWARE: PACK UNPACK   TOOLS: PACK UNPACK   CROCKERY: PACK UNPACK   TOYS: PACK UNPACK   Note: We will allow for two Port-a-Robes to transport your hanging clothes. This is equivalent to approximately 1.0m of hanging space. If you require more Port-a-Robes, please indicate number required: If packing yourself, please complete the following: Approximate number of cartons: Approximate size of cartons used/to be used: 5. Do you have any pot plants to be moved? YES/NO (Plants must be dry, clean and spider free and boxed where possible) If YES, please indicate approximate size and number of plants: Large: Medium: Small: Other - please specify: 6. Do you have any large or bulky items that will need to be dismantled?   (ie swings, play frames, shade houses etc.)    YES/NO If YES, please indicate type etc. 7. INSURANCE: REQUIRED Indicate Preferred Cover: Declared Value: (additional information may be required) 8. Who is paying the account? (If company, an official order or Letter of Authority is required) PLEASE COMPLETE THE FOLLOWING GIVING AS MUCH DETAIL AS POSSIBLE TO ENABLE US TO SUBMIT A MORE ACCURATE QUOTATION. Thank You. BEDROOM 1 No BED 4 / STUDY No DINING ROOM No FAMILY ROOM No Wardrobe   Wardrobe Table Lounge 2 Seat   Dress.Table Single Ens   Dining Chairs   Lounge 1 Seat   Queen.Ens Bed Head   Traymobile   Lounge Module Bed Head   Dress.Table Buffet Bookcase   Bedside Table   Tallboy Buffet Hutch Buffet Hutch Tallboy Chest of drawers   Crystal Cabinet Coffee Table   Chest of Drawers   Student Desk   Bookcase   Television   Blanket Box   Bookcase   Std Carton   TV Stand   Cheval Mirror   Bookshelf   Book Carton   Ent Unit 1.5m Arm Chair   Chair   Pic Pack   Std Cartons   Television   Office Desk     Book Cartons   Std Carton   File Cab 2/3/4       Pic Pack   Book Carton   Comp. Desk           Porta Robes   Sofa Bed   LOUNGEROOM No         Sewing Cab.   Lounge 3 Seat   OUTSIDE No BEDROOM 2 No Std Carton   Lounge 2 Seat   Outdoor Table Wardrobe Book Carton   Lounge 1 Seat   Outdoor Chairs   Single Ens   Porta Robes   Chairs Other   Webber BBQ   Bedhead   Bedside Table   Lounge Module Std BBQ   Dressing Table     Coffee Table   Golf Clubs   Tallboy     Lamp Std.   Golf Buggy   Chest of Drawers   NURSERY No Occ Table Dog Kennel   Student Desk   Cot   Television   Suitcases   Bookcase   Bassinet   Video   Folding Bed   Bookshelf   Lowboy Stereo   Cupboard 1.0 Chair   Change Table   Wall Unit 1.0m   Shelf Unit 1.0   Std Carton   Rocking Chair   Bookcase   Std Cartons   Book Carton   Pram   Ent Unit 1.5m   Book Cartons   Porta Robes   Stroller   TV Stand   Toolboxes       Std Carton   China Cabinet   Surf Board   BEDROOM 3 No Book Carton   Heater   Childs Toys   Wardrobe     Piano/Organ   Bicycle   Single Ens       Piano Stool   Bike Rack   Bedhead       Mag Tidy   Bins   Dressing Table KITCHEN No Nest Table   Car Ramp   Tallboy Table   Std Carton   Esky   Chest of drawers   Dining Chairs   Book Carton   Fold Chair   Student Desk   Refrigerator Pic Pack   Fold Lounge   Bookcase   Freezer Up/r       Garden Seat   Bookshelf   Freezer Chest     Garden tools   Chair   Buffet Hutch     Ladder   Std Carton   Microwave   LAUNDRY No Mower   Book Carton   Micro. Stand   Wash Machine   Whipper Snip.   Porta Robes   Stools   Dryer   Wheelbarrow   BedSide Table   Kitchen Tidy   Cupboard 1.0   Trunks HALL No Dishwasher   Iron Board   Skis   G.Clock   High Chair   Airer   Swing   Drop S/Table   Std Carton   Baskets   Work Bench   Hall Stand Book Carton   Brooms etc.   Trampoline   Hall Table   Sub-Total Freezer Carton Total   Hat Stand       Std Carton   Std Cartons   Pedestal       Book Carton   Book Cartons   Phone Table           Porta Robes   Pic Pack           Pic Pack   Sub-Total         Sub-Total COMMENTS: Please supply additional information and list pieces you may have, that are not listed above. COMMENTS: Please supply approx. measurements of pieces above marked with a