Household Quote – Budget Moving Group

Personal Details

Name:*

E-mail:*

Origin Moving Details

Origin Address:*

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeCountry

Origin Phone:*

Area Code

Phone Number

Destination Moving Details

Destination Address:*

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeCountry

Destination Phone:*

Area Code

Phone Number

Freight Details

Moving Date: (DD/MM/YY)

Delivery Date: (DD/MM/YY)

Who's Moving:

Packing by:

Storage:

Time period of Storage

Freight:

Lounge: Please specify the quantity of each item where necessary.

4 person sofa:

3 person sofa:

2 person sofa:

Arm chairs:

Coffee table:

Large wall unit:

Small wall unit:

Television:

Stereo:

Mini Hifi / Stereo:

Midi Hifi / Stereo:

Full Hifi / Stereo:

Hifi / Stereo cabinet

Bookcase:

Table:

CDs / Casettes / Vinyls:

DVDs / VHS:

Books:

Curtains:

Lamps:

Carpets and Rugs:

Ornaments:

China:

Glassware:

Grand piano:

Upright piano:

Other:

Dining Room: Please specify the quantity of each item where necessary.

Dining Table:

Dining chairs:

Sideboard:

Dresser:

Dining carpets / rugs

Dining Lamps:

Cutlery:

Dining glassware:

Dining china:

Dining room Books:

Dining ornaments:

Dining curtains:

Other (dining):

Kitchen: Please specify the quantity of each item where necessary.

Refridgerator:

Cooker:

Freezer:

Dishwasher:

Microwave:

Electrical Appliances (kitchen):

Glassware (kitchen):

China (kitchen):

Pots/pans (kitchen):

Curtains (kitchen):

Table (kitchen):

Chair (kitchen):

Stools (kitchen):

Ironing Board:

Iron:

Vacuum cleaner:

Other (kitchen):

Bathroom: Please specify the quantity of each item where necessary.

Cabinet:

Mirror:

Linen:

Washing machine:

Dryer:

Other (bathroom):

Bedrooms: Please specify the quantity of each item where necessary.

King / Queen / double beds:

Single beds:

Double wardrobe:

Single wardrobe:

Drawers:

Dressing table:

Bedside cabinet:

Cots:

Chairs (bedroom):

Hifi:

Television (bedroom):

Toys:

Pillows:

Duvets:

Linen (bedroom):

Bookcase (bedroom):

Books (bedroom):

Mirror / Pictures:

Carpets / rugs:

Shoes / clothing:

Curtains (bedroom):

Other (bedroom):

Study: Please specify the quantity of each item where necessary.

Desk:

Chair (study):

Books / Stationery:

Filing cabinets:

Other (study):

Misc: Please define.

Garden shed:

Patio / outdoor:

Sports equipment:

Car (Manufacturer / Model / Year):

Motorbike (Manufacturer / Model / Year):

Other details:

Where did you hear about us?

Human Verification: