Detailed Quote

On completion and submission of this form an Lalor Removals representative will contact you to confirm and further discuss your removal.

Your Contact Information *(Note those boxes marked by require an entry )**
* Name :
* Email Address :
* Day Time Phone Number :

*I Agree
The information provided is as accurate and correct as I can provide, however additions and deletions may occur later. Please provide me with a quotation based on the below information. I understand that your estimator will be required to assess my goods.

Moving From :
Suburb/Town :
State :

Tick Applicable :	Narrow Stairs Internal Stairs External Stairs Narrow Street Narrow Driveway Steep Driveway

Unit/Apartment/Flat? :
If yes, What Floor? :
Does it have a lift? :
If no, what type of dwelling?:

Delivery To :
Suburb/Town :
State :

Tick Applicable :	Narrow Stairs Internal Stairs External Stairs Narrow Street Narrow Driveway Steep Driveway

Unit/Apartment/Flat? :
If yes, What Floor? :
Does it have a lift? :
If no, what type of dwelling?:


Moving Date :
Pickup Date - day/month/year :
Delivery Date - day/month/year :

Packing Service Required? :

Storage Service Required? :

Packing Cartons Required :	Qty Standard Carton Qty Book Carton Qty Picture Pack Qty Clothes Pack Qty Portarobe

Other Services Required :	Unpacking Pet Relocation Car Boat Cleaning Gardening

Special Instructions :

Lounge Rooms/Living Rooms
Sofa (2 Seat) Sofa (3 Seat) Chairs (Arm) Chairs (Recliner) Chairs (Other) Bean Bag Grandfather Clock Piano/Organ Musical Instruments	Tables (Occasional) Tables (Coffee) Tables (Other) China Cabinet Bookcase (Large) Bookcase (Small) Shelving Filing Cabinet	Entertainment Unit TV Cabinet Video Player Television Stereo Stereo Speakers CD/Wine Rack Bar Fridge	Fish Tank Bird Cage Lamp Picture/Painting Rug Heater Air Conditioner Fan

Dining Area
Dining Table Dining Chairs	Side Board China Cabinet	Buffet & Hutch Picture/Painting	Rug

Kitchen and Laundry
Table Chairs/Stools Child's High Chair Electric Appliances Microwave Oven	Dishwasher Refrigerator Freezer (Upright) Freezer (Chest) Washing Machine	Clothes Dryer Sewing Machine Laundry Trolley Clothes Horse	Ironing Board Vacuum Cleaner Brooms etc Bins/Tidy/Baskets

All Bedrooms
Bed (Single) Bed (Double) Bed (Queen/King) Bed (Water) Bed (Bunk Bed) Bed (Crib) Bassinette/Stand Toy Box	Table (Dressing) Table (Changing) Table (Other) Bedside Cabinet Tall Boy Wardrobe Chest Of Drawers	Camphor Chest Bookcase (Large) Bookcase (Small) Desk Chair Lamp Mirror	Picture/Painting Rug Television Air Conditioner Heater Fan Suitcase

Office
Computer Printer Scanner	Fax Machine Desk Chair	Bookcase (Small) Bookcase (Large) Shelves	Filing Cabinet Picture/Painting Bins/Baskets

Sports Equipment
Bike (Kids) Bike (Adult) Bike (Excercise)	Pool/Snooker Table Table Tennis Golf Bag/Buggy	Swing Set Trampoline Camping Gear	Surf Board Canoe

Garage and Outdoors
Pram/Stroller Esky BBQ Dog Kennel Bird Bath	Table (Garden) Table (Other) Chairs (Garden) Chairs (Folding) Bench	Workbench Lawn Mower Whipper Snipper Garden Tools Hoses	Shelving Wheelbarrow Ladder Antenna Compost Bin

Special Requirements/Extra Inventory
Please list below any special requirements and any items that do not fit into the above categories.

Insurance Value
Estimated value of all your items for insurance reasons :

For us
How did you hear about Lalor Removals & Storage? :
If Other or if Search Engine, what search engine? :

phone: 1800 004 437 08 8984 4300 +61 8 8984 4300
fax: 08 8947 0582 +61 8 8947 0582
28 Pruen Rd, Berrimah NT 0828, Australia
ABN: 83 905 735 513

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