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1 Please fill in your details and we will get back to you as soon as possible. *Denotes mandatory field. Personal Details First Name* Surname* * Ph (home) Mobile Pickup Address Address* Suburb* State* Access Driveway Postcode What Level is your unit/flat on? Distance from front door to removal van (approx) metres Is there a lift? Yes Delivery Address Address* Suburb/Town* State* Postcode
2 Access Details Driveway What Level is the unit/flat on? Date of Move Distance from front door to removal van (approx) meters Is there a lift? Yes Approx date Actual date (if known) Packing Packing available (tick if required) Unpacking available (tick if required) Do you require packing cartons/materials? Bedroom 1 Dble/Queen bed Dressing table Wardrobe Single bed Bedside table Chairs Chest of drawers TV Portarobes Tallboy Book cartons Picture cartons Standard cartons Bedroom 2 Double/Queen bed Cot Wardrobe Single bed Dressing table Chairs Chest of drawers Bedside table Portarobes Tallboy TV Picture cartons Bedroom 3/4 file:///users/janineevans/desktop/my_sites/gsremovals/quote.html (2 of 6) [18/11/09 5:37:22 PM]
3 Double/Queen bed Single bed Chest of drawers Wardrobe Dressing table Chairs Tallboy Bedside table Portarobes Cot TV Picture cartons Study Desk Fax Chair Filing cabinet 2 drawer Filing cabinet 3 drawer Filing cabinet 4 drawer Printer Cupboard Single Cupboard Bookcase Computer Picture cartons Lounge Sofa 3 seater Sofa 2 seater Armchair Sofa bed China cabinet Lamp Buffet Coffee table Piano Bar fridge Bar stool Bookcase TV TV stand Video/DVD Stereo Speakers DVD/CD rack Heater Picture cartons Magazine rack Plasma carton Hall/Entry Hall table Hall stand Pedestal Grandfather clock Lamp Picture cartons
4 Dining Room Table Chairs Tea trolley Buffet Sideboard Display cabinet Bookcase Fan Picture cartons Family Room 2 seater sofa Armchair Sofa bed 3 seater sofa Lamp Ottoman/pouffe Coffee table Bar Bar fridge Bar stool Bookcase TV TV stand Video Stereo Speakers Billiard table Plasma carton Picture cartons Kitchen Table Chairs Refrigerator Kitchen Dresser Pantry Cupboard Rubbish Bin Microwave Freezer High Chair Standard Cartons Book Cartons Picture Cartons Laundry Washing machine Dryer Cupboard single Cupboard double Laundry basket Drying rack Ironing board Picture cartons file:///users/janineevans/desktop/my_sites/gsremovals/quote.html (4 of 6) [18/11/09 5:37:22 PM]
5 Miscellaneous Suitcase Trunk Vacuum cleaner Dolls house Pram/pusher Patio heater Steps Rugs Basket Sewing machine Sewing cabinet Kayak Exercise bike Step machine/cross trainer Pool equipment Picture cartons Garage/Sheds Rubbish bin Wheelie bin Wheelbarrow Mower Whipper snipper Garden tools Bench press Weights Golf bag Golf buggy Tent Camping bed Camping equipment Ladder Scooter Bicycle Surfboard Picture cartons Outdoors Trampoline Garden seat Plastic stack chairs Other chairs Plastic table Other tables Dog Kennel Portable BBQ Small BBQ Statues Garden hose Pot plants Picture cartons file:///users/janineevans/desktop/my_sites/gsremovals/quote.html (5 of 6) [18/11/09 5:37:22 PM]
6 Other Please indicate below if you would like us to organise a cleaner, or if you have any queries. Garden State Removals & Storage 25 Green Street, Thomastown Victoria 3074 Ph Fax
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