Online Removals Quote Form - Removalists Gold Coast

Personal Information
Title	Full Name
Employer (if a company move)
Phone	Home	Work	Mobile
Email

Removals Pickup Location
Suburb/Town
State	Postcode
Select all that apply	Narrow stairs Narrow street	Narrow driveway Steep driveway
Is this a unit, flat or apartment?	No	Yes
If yes, what floor is it on?	Does it have a lift?	No	Yes

Relocation Destination
Suburb/Town
State	Postcode
Select all that apply	Narrow stairs Narrow street	Narrow driveway Steep driveway
Is this a unit, flat or apartment?	No	Yes
If yes, what floor is it on?	Does it have a lift?	No	Yes

Additional Moving Information
Type of move	Business	Residential
Dates	Moving Date
	Requested Pickup Date (if known)
	Requested Delivery Date (if known)
Packing Service	I need JandJ Removals to pack ALL the cartons
	I need JandJ Removals for SOME of the cartons AND I will be packing the rest of the cartons
	I will be packing ALL the cartons
Additional Services	Storage needed at destination
	Unpacking and Setting Up needed
Special Instructions

Furniture and effects Inventory
Qty	Item	Qty	Item	Qty	Item
Lounge/Living Rooms
	sofa - single seater		sofa - 2/3 seater		chairs - arm
	chairs - recliner		chairs - other		tables - coffee
	tables - occasional		tables - other		bookcases - small
	bookcases - large		shelving		china cabinet
	TV cabinet		entertainment unit		piano/organ
	lamps		fish tanks/stands		bird cage
	TV's		stereo		stereo speakers
	video		CD/wine racks		file cabinet
	air conditioners		fans		heaters
	bar fridge		rugs		picture/paintings
Dining Area
	dining table		dining chairs		buffet and hutch
	china cabinet		side board		rugs
	picture/paintings
Kitchen/Laundry
	table		chairs/stools		child's high chair
	dishwasher		microwave oven		electric appliances
	refrigerator		freezer - upright		freezer - chest
	washing machine		clothes dryer		sewing machine
	ironing board		vacuum cleaner		brooms, etc
	bins/tidy/baskets
Bedrooms
	beds - single		beds - double		beds - queen/king
	beds - bunk beds		beds - water		cot
	bassinette/stand		toy box		camphor chests
	bedside cabinets		chest of drawers		tall boys
	tables - dressing		tables - changing		tables - other
	mirrors		lamps		TV's
	wardrobes		bookcases - small		bookcases - large
	desks		chairs		suitcases
	air conditioners		fans		heaters
	rugs		pictures/paintings
Office/Study
	computers		scanners		printers
	fax machine		desks		chairs
	bookcases - small		bookcases - large		shelving
	filing cabinets		bins/baskets		picture/paintings
Sports/Exercise
	bikes - kids		bikes - adult		bikes - exercise
	billiard table		table tennis		golf bag, buggy
	camping gear		canoe		surf board
	swing set		trampoline
Garage/Outside
	pram/stroller		esky		workbench
	bench		chairs - folding		chairs - garden
	table - garden		table - other		shelving
	BBQ		dog kennel		bird bath
	lawn mower		wheelbarrow		ladders
	garden tools		whipper snipper		hoses
	antenna		compost bin
Additional Items
Additional special requirements or removals services not listed above
Estimate cm³ (if known)
Estimated insurance value of ALL items to be moved			$

How complete is your information?
	I have done my best to provide complete and correct information, however, I may have additions or deletions later. Please send me a quotation based on the information I've supplied in this form.
	I have listed the main items I need to have moved. I understand because my inventory information is incomplete, you will not be able to give me a quotation at this time. Please contact me to discuss my needs and the costs involved.

Thank you for your filling out our online removals quote form!
J&J's removals will contact you shortly with a quote for the relocation you have specified above.

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