test form 2 Client InformationName *Email Address *Tel *Date of Removal *Where did you hear about us?Is dismantling and reassembling of oversized furniture required? Please specify any additional comment or instructions *House, flat, complex or security estate you're moving FROMHouseFlatComplexSecurity EstateUnit number if in complex, flat or estateSuburb *Street name and number *What floor are you on, if in a flat?Parking for removal van? * Any weight or height restrictions? *Distance to carry from dwelling to loading van? *Are there stairs?YesNoAccess to lift?YesNoHouse, flat, complex or security estate you're moving TOHouseFlatComplexSecurity EstateUnit number if in complex, flat or estateStreet name and number *Suburb *What floor are you on, if in a flat?Parking for removal van? * Any weight or height restrictions? *Distance to carry from dwelling to loading van? *Are there stairs?YesNoAccess to lift?YesNoStorageDo you require storage? *YesNoIf yes, for what period?Is dismantling and reassembling of furniture required? Please provide details of this: *Insurance Do you require insurance? *YesNoIf yes, to what value?PackingDo you require packaging services? *YesNoDo you require packaging materials? *YesNoDetails of the move (Please supply any additional information) *Dining roomCabinetSmallMediumLargeDrinksDining tableWoodGlassDining Table10 Seater8 Seater6 Seater4 SeaterDining room chairWelsh dresser/BuffetTea trolleySideboardServerSmall tableHostess/Butlers trayGlass TopsPainting/PicturesStanding LampMirrorsCarpetsFamily roomBar unitSmallMediumLargeBookcaseSmallMediumLargeSide TableCoffee tableBar StoolsPaintings/Pictures MirrorsCarpetsWine standStudy/OfficeBookcaseSmallMediumLargeDeskMediumLargeStudy cupboard (2 doors)Study/Computer table Painting/PicturesOffice chair Mirror Glass topsCarpets Credenza Computer/Printer CabinetBathroom cupboardDrawing boardTrestle table 2 Drawer filing cabinet4 Drawer filing cabinetLoungeWall Unit3pc2pc1pcFlat Screen TVMediumLargeTableSideCoffeePiano Piano uprightGrand pianoCouch4 Seater3 Seater2 Seater1 Seater/ Arm chair L-ShapedLampSmallLargeServer MirrorsHi-Fi speaker largeHi-Fi speaker small Hi-Fi stand Keyboard Glass topsDSTV Dish Corner couch Fat sacCD standChiffonier CarpetsShow case/display OttomanBedroomsBedSingleDoubleQueenKingBunkFutonSingleDoubleDressing tableMediumLargeWardrobe3 Door2 DoorPaintings/picturesMirrorsKistHeadboardGlass topsDumb ValetCot/compactumClothes basketCheval mirrorChest of drawers Chaise loungeCarpetsTVPedestalsKitchen/appliancesStoveMediumLargeCabinetMediumLargeChest freezer BinTableTumble drier Vacuum cleanerVeggie rackWine rackWashing machineShelfSewing machine/overlocker PolisherMicrowave ovenIroning board Knitting machine Standard fridgeSide-by-side FridgeFreezerFansDishwasherClothes horse ChairGarage/gardenGarden statuesSmallMediumLargeKennelSmallMediumLargeGarden/Patio tableGlassWoodPlasticPatio seater3 seater2 seater1 seaterGarden bench Garden ornamentsFishing rodsEdge trimmerCooler boxConcrete benchBraai: gas or WeberChair (stack/fold)ChairBin Birdcage standBirdbathWorkbenchWheelbarrow Welder/compressorUmbrella baseGarden toolsGarden patio chairsGolf bag/cart Hosepipe ParasolLadderSaw bench LawnmowerPatio corner unit Shelf Parasol baseTrunksToolbox/toolsetBicycleEntrance hallTableHalf moonTelephoneKist + drape Entrance hallHat standClock: GrandfatherHall standWashstandDomestic quartersBedSingleDoubleWardrobe TV Table Dressing table DrawersChairs1 Seater 2 SeaterMiscellaneousSnooker tableQuarter SizeHalf SizeFull SizeFish tankSmallMediumLarge SandpitSafe riflePots - EmptyPots plant small Pots plant mediumPots plant large (MAX 2 men to lift)PramsPlastic storage cratesPlastic Wendy house Pillars Motorbike (cc)Mirror Linen cartons Jungle gym Gym (all in one)Health walker Gas bottleGarage boxes Exercise bicycleDolls wardrobeDolls house large Children's tableChildren's chairsCanoeCamp gear Buckets Bags/BasketsBean bag Art easelShellAny additional items not listed in this inventory:BOXES? *Number of Boxes in Total *Send Message
