Peters Removals & Storage Pty Ltd - Quote Request for Local Move

Name:
Phone:
Fax:
E-mail:

Pick Up Address :		Delivery Address :
Pre-Pack Date :
Pick Up Date :		Delivery Date :
Pick Up Access :		Delivery 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.

BEDROOM 1 No BED4/STUDY No DINING ROOM No FAMILYROOM 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

Bassinette

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

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