Moving From			Moving To
Suburb:			Suburb:
State:	Select NSW QLD ACT VIC SA NT WA		State:	Select NSW QLD ACT VIC SA NT WA
Postcode:			Postcode:
Move Date:	Month Jan Feb Apr May June July Aug Sept Oct Nov Dec Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2005 2006 2007 2008 2009
House Type:	Please Select Lowset - One Storey Highset - Two Storey Apartment Other - Please specify below		House Type:	Please Select Lowset - One Storey Highset - Two Storey Apartment Other - Please specify below
No. of Bedrooms:	Please Select One Two Three Four Five Six Seven Eight
Storage:	(Check if required)
Customer Information
Full Name:
E-mail:
Home Phone:
Work Home:
Mobile:
Best time to contact you:
Additional Comments:
Quick Inventory Sheet
Please enter the number of items you will be moving in the white boxes next to the item. Please remember this is only an estimate, here to give a general idea of the size of your move.

Living Room
		Lounge				Chaise				Chairs
		Wall Unit				Lamps				Air Conditioner
		Rugs				Stereo				End Table
		Coffee Table				Cabinets				Bookcase
		Desk				Television				VCR/DVD
		Other - please specify
Bedrooms
		Bed				Dresser				Armoire
		Chest				Mirror				Night Table
		Chairs				Bookshelf				Wardrobe
		Vanity				Vanity Bench				Rugs
		Other - please specify
Kitchen
		Refrigerator				Table				Chairs
		Stools				Microwave				Freezer
		Dishwasher				Cupboard				Hutch
		Other - please specify
Dining Room
		Table				Sideboard				Chairs
		Bookcase				Heater				Cabinet
		Traymobile				Lamps				Rugs
		Other - please specify
Boxes and Miscellaneous
		Large Boxes				Medium Boxes				Small Boxes
		Wardrobe Boxes				Pictures
		Other - please specify
Comments