Name
*
Email
*
Phone
*
User
Moving Date
*
Suburb - Moving From
*
State
SA
VIC
Suburb - Moving To
*
State
SA
VIC
Type of Residence
Single Story
Double Story
Multi Story
Apartment Building
No of Bedrooms
1
2
3
4
5 or more
No of Living Areas
1
2
3
4
5 or more
Queen Beds - Qty
Single Beds - Qty
Bunk Beds - Qty
Bedside Table - Qty
Wardobe (small) - Qty
Wardobe (large) - Qty
Chest of Drawers - Qty
Dressing Table - Qty
Cupboard - Qty
Bookcase - Qty
Table - Qty
Chair - Qty
Stool - Qty
Toy Box - Qty
Coffee Table - Qty
China Cabinet - Qty
Filing Cabinet - Qty
Piano - Qty
Pool Table - Qty
Television - Qty
Lounge Chair - Qty
Lounge 2 Seater - Qty
Lounge 3 Seater - Qty
Wall Unit - Qty
Dishwasher - Qty
Refrigerator - Qty
Washing Machine - Qty
Tumble Drier - Qty
Outdoor Setting - Qty
Barbeque - Qty
Garden Tools - Qty
Shed Tools - Qty
Ladder - Qty
Lawnmower - Qty
Additional Info / Access Issues / Other Heavy Items