Please complete this form to recieve a quotation for your customer. Step 1 of 6 16% This field is hidden when viewing the formVolumeThis field is hidden when viewing the formPer Floor (C)This field is hidden when viewing the formWith Lift (C)This field is hidden when viewing the formPer Floor (D)This field is hidden when viewing the formWith Lift (D)This field is hidden when viewing the formLabour CostThis field is hidden when viewing the formVehicle CostThis field is hidden when viewing the formDriving Cost (Direct)This field is hidden when viewing the formDriving Cost (Into Store)This field is hidden when viewing the formDriving Cost (Out of Store)This field is hidden when viewing the formDirect move priceThis field is hidden when viewing the formVAT 1This field is hidden when viewing the formDirect totalThis field is hidden when viewing the formInto store priceThis field is hidden when viewing the formVAT 2This field is hidden when viewing the formInto store totalThis field is hidden when viewing the formOut of store priceThis field is hidden when viewing the formVAT 9This field is hidden when viewing the formOut of store totalThis field is hidden when viewing the formStorage WeeklyThis field is hidden when viewing the formVAT 3This field is hidden when viewing the formStorage totalThis field is hidden when viewing the formDismantling and rebuilding priceThis field is hidden when viewing the formVAT 4This field is hidden when viewing the formDismantling totalThis field is hidden when viewing the formFragile packing priceThis field is hidden when viewing the formVAT 5This field is hidden when viewing the formFragile totalThis field is hidden when viewing the formFull packing priceThis field is hidden when viewing the formVAT 6This field is hidden when viewing the formFull packing totalThis field is hidden when viewing the formPacking materials priceThis field is hidden when viewing the formVAT 7This field is hidden when viewing the formMaterials totalYOUR DETAILS:Name(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Phone(Required)Email(Required) COLLECTION AND DELIVERY DETAILS:This field is hidden when viewing the formGeocoderThis field is hidden when viewing the formGeocoderThis field is hidden when viewing the formGeocoderCollection Address(Required) Delivery Address(Required) Final delivery address or locationIf you are moving into storage, please still let us know where you will be eventually moving to.This field is hidden when viewing the formGeocoderThis field is hidden when viewing the formMapThis field is hidden when viewing the formDirections, Distance & RoutesThis field is hidden when viewing the formUntitledThis field is hidden when viewing the formDirections, Distance & RoutesThis field is hidden when viewing the formUntitledThis field is hidden when viewing the formDirections, Distance & RoutesThis field is hidden when viewing the formUntitledSERVICES REQUIRED:Would you like a quote for packing? YES NO How much packing do you require? Full packing Fragile packing Do you require any packing materials? YES NO Would you like a quote for dismantling and rebuilding? YES NO How many items require dismantling and rebuilding?Do you require storage prior to delivery? YES NO Do you have a fixed removal date? YES NO Removal Date DD slash MM slash YYYY Estimated Date ABOUT YOUR COLLECTION PROPERTY:Are you selling or renting? Selling Renting Other Please describeType of PropertyPlease SelectHouseFlatBungalowOfficeStorageOtherNumber of Bedrooms? 1 2 3 4 Other Floor(s) B G 1 2 3+ What floor?Is there a lift? Yes No Number of Employees being relocated? 1-5 6-10 11-20 21-50 Other Volume to be moved / Size of unit?How close can we park at collection? 0-10m 10-20m 20-40m 40m+ How far?Are there any parking restrictions? YES NO Parking Restrictions?Please SelectSingle Yellow LineDouble Yellow LineResidents BayPay and Display BayRed RouteOtherWhat are the restrictions?Are there any access restrictions? YES NO What are the restrictions? ABOUT YOUR DELIVERY PROPERTY:Are you buying or renting? Buying Renting Other Please describeType of PropertyPlease SelectHouseFlatBungalowOfficeStorageOtherNumber of Bedrooms? 1 2 3 4 Other Floor(s) B G 1 2 3+ What floor?Is there a lift? Yes No How close can we park at delivery? 0-10m 10-20m 20-40m 40m+ How far?Are there any parking restrictions? YES NO Parking Restrictions?Please SelectSingle Yellow LineDouble Yellow LineResidents BayPay and Display BayRed RouteOtherWhat are the restrictions?Are there any access restrictions? YES NO What are the restrictions? FOR A QUOTATION - PLEASE INCLUDE AS MUCH DETAIL AS POSSIBLESHOULD YOU HAVE ANY ITEMS THAT ARE NOT LISTED, PLEASE ADD THEM TO THE "Small", Medium" or "Large" ITEMS SMALL ITEMS: About the size of an armchair. MEDIUM ITEMS: About the size of a 2 seater sofa. LARGE ITEMS: About the size of a 3 seater sofa.LOUNGE ITEMS:4 Seater SofaSelect12345678910+3 Seater SofaSelect12345678910+2 Seater SofaSelect12345678910+ArmchairSelect12345678910+PouffeSelect12345678910+Grand PianoSelect12345678910+Upright PianoSelect12345678910+Standard LampSelect12345678910+Coffee TableSelect12345678910+TVSelect12345678910+Small BookcaseSelect12345678910+Large BookcaseSelect12345678910+Small ItemsSelect12345678910+Medium ItemsSelect12345678910+Large ItemsSelect12345678910+Other ItemsDINING ROOM ITEMS:Dining TableSelect12345678910+Dining ChairsSelect12345678910+SideboardSelect12345678910+Welsh DresserSelect12345678910+Drinks CabinetSelect12345678910+Small BookcaseSelect12345678910+Large BookcaseSelect12345678910+Corner CabinetSelect12345678910+Small ItemsSelect12345678910+Medium ItemsSelect12345678910+Large ItemsSelect12345678910+Other ItemsKITCHEN ITEMS:American Fridge FreezerSelect12345678910+Fridge FreezerSelect12345678910+Small FridgeSelect12345678910+Small FreezerSelect12345678910+Chest FreezerSelect12345678910+Washing MachineSelect12345678910+Tumble DryerSelect12345678910+DishwasherSelect12345678910+CookerSelect12345678910+Kitchen TableSelect12345678910+Kitchen ChairSelect12345678910+Large FreezerSelect12345678910+Small ItemsSelect12345678910+Medium ItemsSelect12345678910+Large ItemsSelect12345678910+Other ItemsSTUDY ITEMS:Large DeskSelect12345678910+Small DeskSelect12345678910+Office ChairSelect12345678910+Filing CabinetSelect12345678910+Small BookcaseSelect12345678910+Large BookcaseSelect12345678910+ComputerSelect12345678910+CupboardSelect12345678910+Small ItemsSelect12345678910+Medium ItemsSelect12345678910+Large ItemsSelect12345678910+Other ItemsBEDROOM ITEMS:Kingsize BedSelect12345678910+Double BedSelect12345678910+Single BedSelect12345678910+Bunk BedSelect12345678910+Triple WardrobeSelect12345678910+Double WardrobeSelect12345678910+Single WardrobeSelect12345678910+Large Chest of DrawersSelect12345678910+Small Chest of DrawersSelect12345678910+Bedside TableSelect12345678910+Dressing TableSelect12345678910+Chaise LoungeSelect12345678910+Small ItemsSelect12345678910+Medium ItemsSelect12345678910+Large ItemsSelect12345678910+Other ItemsGARDEN ITEMS:Garden TableSelect12345678910+Garden ChairsSelect12345678910+BenchSelect12345678910+TrampolineSelect12345678910+PlayhouseSelect12345678910+Plants in PotsSelect12345678910+Ratan SuiteSelect12345678910+ShedSelect12345678910+Small ItemsSelect12345678910+Medium ItemsSelect12345678910+Large ItemsSelect12345678910+Other ItemsGARAGE ITEMS:Lawn MowerSelect12345678910+LaddersSelect12345678910+ShelvingSelect12345678910+BicyclesSelect12345678910+WorkbenchSelect12345678910+PushchairSelect12345678910+BBQSelect12345678910+MotorbikeSelect12345678910+Small ItemsSelect12345678910+Medium ItemsSelect12345678910+Large ItemsSelect12345678910+Other ItemsLOFT ITEMS:Other ItemsANY FURTHER INFORMATION:Further Information FOR A QUOTATION - PLEASE INCLUDE AS MUCH DETAIL AS POSSIBLEOffice Contents:DeskSelect12345678910+Office ChairSelect12345678910+PedestalSelect12345678910+ComputerSelect12345678910+2 Draw Filing CabinetSelect12345678910+4 Draw Filing CabinetSelect12345678910+CupboardsSelect12345678910+Conference TableSelect12345678910+PhotocopiersSelect12345678910+Water CoolerSelect12345678910+FridgeSelect12345678910+Other ItemsIs there any further information we may need? YES NO Further Information