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ACR AUSTRALIA

PH: (08) 8395 0966

24HR MOBILE: PH: 0401 2959 41

Section 1 - Your Details

Your Name:

Email Address:

Daytime Phone Number:

INCLUDE AREA CODE

Address to send Quotation:

What is the insurance value of the goods?

Preferred Removal Date:

Section 2 - Collection Details

Collection Address
(if different from above)

Post Code :

Phone Number:

Fax Number:

House :

If Flat, which Floor?

Lift Available?

safety Cones Required?

Stairs?

If Stairs, how many flights?

Are any Doors / Stairs Narrow?

Will any items have to come through windows?

If yes to above state items and where they will be?

Do you wish us to pack?

Section 3 - Delivery Details

Delivery Address

Post Code :

Phone Number:

Fax Number:

Type of property:

If Flat, which Floor?

Lift Available?

safety Cones Required?

Stairs?:

If Stairs, how many flights?

Are any Doors / Stairs Narrow?

Will any items have to go through windows?

If yes to above state items and where they need to go?

Do you wish us to unpack?

If known approx. size of consignment in cubic feet/metres or any specific requests:

Section 4 - Full Household Moves

For full household moves, please fill in this form below.

Lounge, Dining Room, etc.

Large sofa (s)
Medium sofa (s)
Small sofa (s)
Large Armchair (s)
Small Armchair (s)
Small Tub Armchair (s)
Occasional chair (s)
Wall Unit (s)
Large China Cabinet (s)
Medium China Cabinet
Small China Cabinet (s)
Welsh Dresser (s)
Large Sideboard (s)
Medium Sideboard (s)
Small Sideboard (s)
Large Dining Table (s)
Medium Dining Table (s)
Small Dining Table (s)
Medium Gate Leg Table
Refectory Table (s)
Small Occasional Table (s)
Dining Chair (s)
Carver Chair (s)
Large Top Desk (s)
Small Top Desk (s)
Large Bureau (s)
Small Bureau (s)
Sectional B`k case (persecton)
Large Bookcase (s)
Small Bookcase (s)
Bookshelves
Folding Card Table
Overmantel (s)
Grandfather Clock (s)
Chandelier
Standard Lamp (s)
Fitted Carpet (s)
Fitted Carpet (s)
Upright Piano (s)
Miniature Piano (s)
Player Piano (s)
Baby Grand Piano (s)
Boudoir Grand Piano (s)
Piano Stool (s)
Duet Stool (s)
Radiogram (s)
Stereo (s)
Television(s)
Nest of Tables 5
Music Cabinet(s)
Stool(s)
Mirror(s)
Coffee Table(s)
Picture(s)
Filing Cabinet(s)

Bedrooms

Wardrobe Fitment(s)
Wardrobe(s) small
Wardrobe(s) medium
Wardrobe(s) large
Wardrobe(s) extra large
Wardrobe Compactum(s)
Dressing Table(s)
Dressing Chest(s)
Large Chest of Drawers
Medium Chest of Drawers
Small Chest of Drawers
Chest of Drawers
Tallboy(s)
Washstand and Slab(s)
Folding Bed(s)
Bedroom Chair(s)
POOL TABLES (s)

Armchair(s)
4`6" Bed head (s)
4`0" Bed head (s)
3`0" Bed head (s)
Bunk beds
Continental Head board (s)
Childs Folding Cot(s)
Pedestal Cupboard (s)
Bedside Table (s)
Box Ottoman (s)
Soiled Linen Basket (s)
Draught Screen( s)
Table Lamp (s)

Kitchen, Hall Etc.

Cooker (s)
Upright Freezer (s)
Chest Freezer (s)
Small Refrigerator (s)
Medium Refrigerator (s)
Large Refrigerator (s)
Washing Machine (s)
Tumble Dryer (s)
Vaccum Cleaner (s)
Electric Floor Polisher (s)
Dishwasher (s)
Kitchen Cabinet (s)
Small Kitchen Table (s)
Large Kitchen Table (s)
Kitchen Chair (s)
Babys High Chair (s)
Tea Trolley (s)
Tray & Stand (s)
Medium Store Cupboard (s)
Hand Sewing Machine (s)
Sewing Machine (s)
Hall Table (s)
Hall Stand (s)
Hall Chair (s)
Medium Oak Coffer (s)
3 Fold Clothes Horse (s)
Carpet (s)
Ironing Board (s)

Outside Effects

Garden Roller(s)
Wheelbarrow(s)
Lawnmower(s)
Garden Tractor(s)
Sun Lounger(s)
Hose & Reel(s)
Garden Tools (each)
Normal Dustbin(s)
Step Ladders
Garden Seat(s)
Bicycle(s)
Perambulator(s)
Extension Ladders
Deck Chair(s)
Work Bench(es)
Plant Pot(s)
FISH TANK (s)
Golf Bag(s)

Boxes & Misc. Items

Tea Chest Size Carton(s)
Medium Size Carton(s)
Small Size Carton(s)
Porta robe Carton(s)
Suitcase(s)
Trunk(s)


Any other items not on the list, or special requirements?
Do you require any storage?(please type)
If yes, approx. how long for?

PLEASE CONTACT OUR FRIENDLY STAFF

BRYAN EFFINGHAM GENERAL MANAGER SALES

Ph: 08 8395 0966 - Australia wide