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Instructions:
- Select File | Print on your Web Browser or use the Print link
above to obtain a hard copy of this form.
- Fill in the form whilst taking an inventory of your property
requiring removal.
- Fax the completed form to (07) 3219 9191 for
an obligation free quote.
NOTE: Should you have any questions regarding this form please
call (07) 3219 9111 for assistance.
Your Contact Details
| Name |
|
| Company |
|
| Phone No |
|
| Mobile No |
|
| Fax No |
|
| Email |
|
Pickup Details
| Address |
|
| Date |
|
| Phone |
|
| House |
|
| Driveway |
|
| Block |
|
Delivery Details
| Address |
|
| Date |
|
| Phone |
|
| House |
|
| Driveway |
|
| Block |
|
Household Inventory
| Bedroom |
Room 1 |
Room 2 |
Room 3 |
Room 4 |
Room 5 |
| |
Qty |
Qty |
Qty |
Qty |
Qty |
| Baby Bath |
|
|
|
|
|
| Basket Linen |
|
|
|
|
|
| Bass't/Stand |
|
|
|
|
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| Bed Futon |
|
|
|
|
|
| Bed Water |
|
|
|
|
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| Bed Queen & Mat. |
|
|
|
|
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| Bed Double & Mat. |
|
|
|
|
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| Bed Single & Mat. |
|
|
|
|
|
| Bedside Table |
|
|
|
|
|
| Bookshelf |
|
|
|
|
|
| Bouncinette |
|
|
|
|
|
| Box - Blanket |
|
|
|
|
|
| Box - Toy |
|
|
|
|
|
| Carpet / Lino |
|
|
|
|
|
| Chair - Other |
|
|
|
|
|
| Chair - Office |
|
|
|
|
|
| Change Table |
|
|
|
|
|
| Chest Drawers |
|
|
|
|
|
| Child's Chair |
|
|
|
|
|
| Child's Table |
|
|
|
|
|
| Computer |
|
|
|
|
|
| Cot |
|
|
|
|
|
| Cot - Collaps |
|
|
|
|
|
| Desk |
|
|
|
|
|
| Divan |
|
|
|
|
|
| Doll's House |
|
|
|
|
|
| Dressing Table |
|
|
|
|
|
| Fan |
|
|
|
|
|
| File Cab |
|
|
|
|
|
| Guitar |
|
|
|
|
|
| Hat Stand |
|
|
|
|
|
| Headbd - Dble |
|
|
|
|
|
| Headbd - Sgle |
|
|
|
|
|
| Heater |
|
|
|
|
|
| Lamp |
|
|
|
|
|
| Lowboy |
|
|
|
|
|
| Mattress - Dble |
|
|
|
|
|
| Mattress - Queen |
|
|
|
|
|
| Mattress - Sgle |
|
|
|
|
|
| Mirror |
|
|
|
|
|
| Mirror - Cheval |
|
|
|
|
|
| Playpen |
|
|
|
|
|
| Pram |
|
|
|
|
|
| Sewing Machine |
|
|
|
|
|
| Sewing Table |
|
|
|
|
|
| Shoe Rack |
|
|
|
|
|
| Stereo |
|
|
|
|
|
| Stool |
|
|
|
|
|
| Storage Bin |
|
|
|
|
|
| Stroller |
|
|
|
|
|
| Suitcase |
|
|
|
|
|
| Table |
|
|
|
|
|
| Tallboy |
|
|
|
|
|
| Television |
|
|
|
|
|
| Towel Rail |
|
|
|
|
|
| Valet |
|
|
|
|
|
| Video Recorder |
|
|
|
|
|
| Wardrobe 6' |
|
|
|
|
|
| Wire Drawers |
|
|
|
|
|
| Portarobe |
|
|
|
|
|
| Std Carton |
|
|
|
|
|
| Book Carton |
|
|
|
|
|
| Picture Ctn |
|
|
|
|
|
| TOTAL |
|
|
|
|
|
| Lounge |
QTY |
Dining |
QTY |
| Bookcase |
|
Bookshelf |
|
| Bookshelf |
|
Buffet |
|
| Bureau |
|
Chair Carver |
|
| DVD Player |
|
Chair Dining |
|
| Entertainment Unit |
|
China Cabinet |
|
| CD Rack |
|
Crystal Cabinet |
|
| Chair arm |
|
Sideboard |
|
| Chair Lounge |
|
Table Dining |
|
| China Cabinet |
|
Standard Ctn |
|
| Crystal Cabinet |
|
Book Ctn |
|
| Desk |
|
Picture Ctn |
|
| Heater |
|
Wine Rack |
|
| Lounge Suite |
|
Family |
QTY |
| Magazine Tidy |
|
Bar |
|
| Organ |
|
Bookshelf |
|
| Piano |
|
Chair |
|
| Piano Stool |
|
CD Rack |
|
| Sofa |
|
Desk |
|
| Standard Lamp |
|
DVD Player |
|
| Stereo |
|
Entertainment Unit |
|
| Stereo Cabinet |
|
Stereo |
|
| Stereo Speakers |
|
Stereo Cabinet |
|
| Table - Dining |
|
Stereo Speaker |
|
| Table Coffee |
|
Table Coffee |
|
| Table Occasional |
|
Table Dining |
|
| Television |
|
Table Occassional |
|
| Video Recorder |
|
Television |
|
| Wall Unit |
|
Video recorder |
|
| Standard Ctn |
|
Standard Ctn |
|
| Book Ctn |
|
Book Ctn |
|
| Picture Ctn |
|
Picture Ctn |
|
| Study |
QTY |
Hall |
QTY |
| Bookshelf |
|
Chair |
|
| Chair |
|
Grandfather Clock |
|
| Chair Arm |
|
Hall Stand |
|
| Computer |
|
Hall Table |
|
| Credenza |
|
Mirror |
|
| Desk |
|
Standard Ctn |
|
| Desk Computer |
|
Book Ctn |
|
| Desk Return |
|
Picture Ctn |
|
| Filing Cabinet |
|
Kitchen |
QTY |
| Standard Ctn |
|
Cabinet |
|
| Book Ctn |
|
Chair |
|
| Laundry |
QTY |
High Chair |
|
| Airer |
|
Dishwasher |
|
| Brooms |
|
Freezer |
|
| Cabinet |
|
Fridge |
|
| Dryer |
|
Microwave |
|
| Ironing Board |
|
Stool |
|
| Laundry Basket |
|
Table |
|
| Laundry Trolley |
|
Tidy |
|
| Linen Basket |
|
Standard Ctn |
|
| Stool |
|
Book Ctn |
|
| Washing Machine |
|
|
|
| Standard Ctn |
|
|
|
| Book Ctn |
|
|
|
| Outside / Garage |
QTY |
Sundries |
QTY |
| Barbeque |
|
Bag |
|
| BBQ Setting |
|
Beach Umbrella |
|
| Bicycle |
|
Boxes Sml PBO |
|
| Bin |
|
Boxes Med PBO |
|
| Blower Vac |
|
Boxes Lge PBO |
|
| Car Roof Rack |
|
Camp Bed |
|
| Chair |
|
Camp Stove |
|
| Chair Stack |
|
Child Chair |
|
| Cube |
|
Child Table |
|
| Cupboard |
|
Doll's House |
|
| Dog Bed |
|
Exercise Bike |
|
| Drum |
|
Filing Cab |
|
| Esky |
|
Fishing Rods |
|
| Folding Chair |
|
Golf Bag/Bug |
|
| Folding Lounge |
|
Guitar |
|
| Fridge |
|
Play Clam |
|
| Garden Hose |
|
Sewing Machine |
|
| Garden Seat |
|
Suitcase |
|
| Garden Tools |
|
Surf Ski |
|
| Ladder |
|
Table Tennis Table |
|
| Ladder Extension |
|
Tent |
|
| Ladder Step |
|
Tent Poles |
|
| Lounger |
|
Toy Car |
|
| Mower & Catch |
|
Toy Pram |
|
| Pot |
|
Trike |
|
| Pot Plants Sml |
|
Trunk |
|
| Pot Plants Med |
|
Vacuum Cleaner |
|
| Pot Plants Lge |
|
Walking Machine |
|
| Saw Horse |
|
Weight Bar |
|
| Shelving Metal |
|
Weight Bench |
|
| Shelving Wood |
|
Windsurfer |
|
| Slippery Slide |
|
Xmas Tree |
|
| Swing (Dis) |
|
|
|
| Table |
|
|
|
| Toolbox |
|
|
|
| Trampoline |
|
|
|
| Wardrobe |
|
|
|
| Wheelbarrow |
|
|
|
| Wipper Snipper |
|
|
|
| Workbench |
|
|
|
| Standard Ctn |
|
|
|
| Book Ctn |
|
|
|
| Miscellaneous / Special Insrtuctions |
QTY |
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
Packing
An important part of your removal is the packing of your household
effects (eg. books, crockery, china, clothes, glassware, linen,
etc.).
If you require the removalist to complete all of the packing please
indicate your estimate of packing containers required using the
description of the containers as listed below to guide your estimate.
If you require the removalist to complete some of the packing,
what do you require the removalist to pack? (eg. China and glassware
in lounge, complete contents of kitchen.)
I require the following items to be packed by the removalist.....
| Miscellaneous / Special Insrtuctions |
QTY |
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
If you are completeing the entire packing or only part, please
indicate the number of cartons YOU will be packing
in the PBO (packed by owner) column in the list
of Packing Containers required below.
| Carton Description |
No. Required |
No. PBO |
Portarobe
|
|
|
| For hanging cothes on their existing hangers.
500cm hanging rail. |
Standard Ctn
|
|
|
| For packing crockery, china, clothes, glassware,
hand tools etc. 45cm length x 45cm depth x 75cm height. |
Book Ctn
|
|
|
| For packing books, papers, CD's, LP records, wine
etc. 35cm lenght x 35cm depth x 40cm height. |
Picture Ctn
|
|
|
| For packing poster size pictures, paintings, mounted
posters etc. 80cm length x 10cm depth x 95cm height. |
Insurance
Just as you insure your possessions against loss or damages while
they are located in your home it is advisable to consider insurance
cover while they are in the care of the removalist.
The two types of insurance generally available are transit
insurance and full comprehensive insurance.
Transit insurance is a major perils insurance generally covering
loss by fire, collision, overturning and flood while located on
the conveying vehicle.
Full comprehensive insurance generally covers loss or damage to
your furniture and effects from the time the removalist commences
your removal until your furniture and effects are delivered.
Conditions and coverage will vary from removalist to removalist.
You may also obtain insurance from your own insurers or I can direct
you to an insurance broker who specializes in that area.
ANY ITEMS NOT INCLUDED IN THE ABOVE INVENTORY MAY
ATTRACT ADDITIONAL CHARGES
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