WAYNE NEWTON TRANSPORT SERVICES PTY LTD Ph: (07) 3290 2792 ACN 072 606 243 Fax: (07) 3290 3220 Int. Fax: (+617) 3290 3220 DETAILS FOR QUOTATION - HOUSEHOLD REMOVAL Instructions: 1. Select File|Print on your Web Browser for hard copy. 2. Fill in the form whilst taking a walk around inspection. 3. Faxback the completed form for obligation free quotation. NOTE: Should you have any questions regarding this form please call (07) 3290 2792 for assistance. +- CONTACT DETAILS --------------------------------------------------------+ | | | Name: . . . . . . . . . . . . . . . . . . . Ph: . . . . . . . . . | | | | Company: . . . . . . . . . . . . . . . . . . Fax: . . . . . . . . . | ---------------------------------------------------------------------------- +- UPLIFT DETAILS ---------------------------------------------------------+ | | | Address: . . . . . . . . . . . . . . . . . . Date: . . . . . . . . . | | | | . . . . . . . . . . . . . . . . . . . . . . Ph: . . . . . . . . . | | | | House - Hi / Low Set Driveway Usable for Truck - Yes / No | | | | Normal Level House Block - Yes / No | +--------------------------------------------------------------------------+ +- DELIVERY DETAILS -------------------------------------------------------+ | | | Address: . . . . . . . . . . . . . . . . . . Date: . . . . . . . . . | | | | . . . . . . . . . . . . . . . . . . . . . . Ph: . . . . . . . . . | | | | House - Hi / Low Set Driveway Usable for Truck - Yes / No | | | | Normal Level House Block - Yes / No | +--------------------------------------------------------------------------+ Page 1 of 4 +- HOUSEHOLD INVENTORY -------------------------------------------------------+ | BEDROOM | 1 | 2 | 3 | 4 | | BEDROOM | 1 | 2 | 3 | 4 | | |-----------------------------------------------------------------------------| | |QTY|QTY|QTY|QTY| | |QTY|QTY|QTY|QTY| | | | | | | | | | | | | | | | Baby Bath . . . | . | . | . | . | | Guitar . . . . . | . | . | . | . | | | | | | | | | | | | | | | | Bass't/Stand . . | . | . | . | . | | Hat Stand . . . | . | . | . | . | | | | | | | | | | | | | | | | Bedside Table . .| . | . | . | . | | Headbd-Dble . . | . | . | . | . | | | | | | | | | | | | | | | | Bedwire-Dble . . | . | . | . | . | | Headbd-Sgle . . | . | . | . | . | | | | | | | | | | | | | | | | Bedwire-Sgle . . | . | . | . | . | | Ladder-Bunk . . | . | . | . | . | | | | | | | | | | | | | | | | Bookshelf . . . | . | . | . | . | | Lowboy . . . . . | . | . | . | . | | | | | | | | | | | | | | | | Bunks . . . . . | . | . | . | . | | Mattress-Dble . | . | . | . | . | | | | | | | | | | | | | | | | Bouncinette . . | . | . | . | . | | Mattress-Sgle . | . | . | . | . | | | | | | | | | | | | | | | | Box-Glory . . . | . | . | . | . | | Mattress-Foam . | . | . | . | . | | | | | | | | | | | | | | | | Box-Blanket . . | . | . | . | . | | Mirror . . . . . | . | . | . | . | | | | | | | | | | | | | | | | Carpet/Lino . . | . | . | . | . | | Mirror-Cheval . | . | . | . | . | | | | | | | | | | | | | | | | Chair-Other . . | . | . | . | . | | Playpen . . . . | . | . | . | . | | | | | | | | | | | | | | | | Chair-Office . . | . | . | . | . | | Pram . . . . . . | . | . | . | . | | | | | | | | | | | | | | | | Change Table . . | . | . | . | . | | Sewing Mach . . | . | . | . | . | | | | | | | | | | | | | | | | Chest Drawers . | . | . | . | . | | Sewing Tble . . | . | . | . | . | | | | | | | | | | | | | | | | Child's Chair . | . | . | . | . | | Spinning Whl . . | . | . | . | . | | | | | | | | | | | | | | | | Child's Tble . . | . | . | . | . | | Stool . . . . . | . | . | . | . | | | | | | | | | | | | | | | | Cot . . . . . . | . | . | . | . | | Stroller . . . . | . | . | . | . | | | | | | | | | | | | | | | | Cot-Collaps | . | . | . | . | | Suitcase . . . . | . | . | . | . | | | | | | | | | | | | | | | | Desk . . . . . . | . | . | . | . | | Valet . . . . . | . | . | . | . | | | | | | | | | | | | | | | | Dressing Tble . | . | . | . | . | | Wardrobe 6' . . | . | . | . | . | | | | | | | | | | | | | | | | Doll's House . . | . | . | . | . | | Portarobe . . . | . | . | . | . | | | | | | | | | | | | | | | | Ensemble-Dble . | . | . | . | . | | Std Ctn . . . . | . | . | . | . | | | | | | | | | | | | | | | | Ensemble-Sgle . | . | . | . | . | | Book Ctn . . . . | . | . | . | . | | | | | | | | | | | | | | | | File Cab-3 dr . | . | . | . | . | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |-----------------------------------------------------------------------------| |TOTAL | | | | | | | | | | | | +-----------------------------------------------------------------------------+ Client's Signature: . . . . . . . . . . . . Date: . . . . . . . . ANY ITEMS NOT INCLUDED IN THE ABOVE INVENTORY MAY ATTRACT ADDITIONAL CHARGES Page 2 of 4 +- HOUSEHOLD INVENTORY -------------------------------------------------------+ | LOUNGE |QTY| LOUNGE (contd) |QTY| KITCHEN |QTY| |-------------------------|-------------------------|-------------------------| | | | | | | | | Air Conditioner . . | . | Stand Lamp . . . . | . | Broom Cab . . . . . | . | | | | | | | | | Air Cooler . . . . | . | Stereo . . . . . . | . | Cabinet . . . . . . | . | | | | | | | | | Bar Fridge . . . . | . | Stool . . . . . . . | . | Dish. Wash . . . . | . | | | | | | | | | Bean Bag . . . . . | . | Treadle . . . . . . | . | Freezer . . . . . . | . | | | | | | | | | Mirror . . . . . . | . | TV . . . . . . . . | . | Fridge . . . . . . | . | | | | | | | | | Bookcase 4' . . . . | . | Wall Unit-2pce . . | . | High Chair . . . . | . | | | | | | | | | Bookshelf . . . . . | . | What Not . . . . . | . | Kitchen Chair . . . | . | | | | | | | | | Bureau . . . . . . | . | Book Ctns . . . . . | . | Kitchen Tble . . . | . | | | | | | | | | Carpet . . . . . . | . | Picture Ctns . . . | . | Microwave . . . . . | . | | | | | | | | | Rugs . . . . . . . | . | Std Ctns . . . . . | . | Stool . . . . . . . | . | | | | | | | | | Chair-Arm . . . . | . |-------------------------| Tidy . . . . . . . | . | | | | DINING | | | | | Chair-Other . . . . | . |-------------------------| Std Ctns . . . . . | . | | | | | | | | | China Cab 4' . . . | . | Billiard Tble . . . | . | Book Ctns . . . . . | . | | | | | | | | | Coffee Table . . . | . | Bookshelf . . . . . | . | | | | | | | | | | | Divan/Sleeper . . . | . | Buffet/S-Board . . | . | | | | | | | | | | | Entertain. Unit . . | . | Carpet . . . . . . | . |-------------------------| | | | | | HALL | | | Fish Tank/Stand . . | . | Crystal Cab . . . . | . |-------------------------| | | | | | | | | Fold Screen . . . . | . | Dining Chairs . . .| . | Card Tble . . . . . | . | | | | | | | | | Heater . . . . . . | . | Dining Tble . . . . | . | Dropside Tble . . . | . | | | | | | | | | Lounge-5 seat . . . | . | Chair-Other . . . . | . | Grandfather Clck . | . | | | | | | | | | Magazine Tidy . . . | . | Fan . . . . . . . . | . | Hall Stand . . . . | . | | | | | | | | | Occ. Table . . . . | . | Traymobile . . . . | . | Hall Tble . . . . . | . | | | | | | | | | Organ . . . . . . . | . | Std Ctns . . . . . | . | Phone Tble . . . . | . | | | | | | | | | Piano . . . . . . . | . | | | Vacuum Cleaner . . | . | | | | | | | | | Piano Stool . . . . | . | | | Std Ctns . . . . . | . | | | | | | | | | Pouffes . . . . . . | . | | | | | | | | | | | | |-----------------------------------------------------------------------------| | TOTAL | | TOTAL | | TOTAL | | +-----------------------------------------------------------------------------+ Client's Signature: . . . . . . . . . . . . Date: . . . . . . . . ANY ITEMS NOT INCLUDED IN THE ABOVE INVENTORY MAY ATTRACT ADDITIONAL CHARGES Page 3 of 4 +- HOUSEHOLD INVENTORY -------------------------------------------------------+ | LAUNDRY |QTY| OUTSIDE |QTY| MISCELLANEOUS/ |QTY| |-------------------------|-------------------------| SPECIAL INSTRUCTIONS|---| | | | | | | | | Airer . . . . . . . | . | Antenna . . . . . . | . | . . . . . . . . . . | . | | | | | | | | | Brooms etc . . . . | . | BBQ-Kettle . . . . | . | . . . . . . . . . . | . | | | | | | | | | Dryer . . . . . . . | . | BBQ-Trolley . . . . | . | . . . . . . . . . . | . | | | | | | | | | Cupboard . . . . . | . | Bicycle . . . . . . | . | . . . . . . . . . . | . | | | | | | | | | Ironing Board . . . | . | Bins . . . . . . . | . | . . . . . . . . . . | . | | | | | | | | | Lndry Bsket . . . . | . | Compost Bin . . . . | . | . . . . . . . . . . | . | | | | | | | | | Lndry Trolley . . . | . | Eskies . . . . . . | . | . . . . . . . . . . | . | | | | | | | | | Linen Bsket . . . . | . | Fold Chair . . . . | . | . . . . . . . . . . | . | | | | | | | | | Stool . . . . . . . | . | Fold Lounge . . . . | . | . . . . . . . . . . | . | | | | | | | | | Table . . . . . . . | . | Garden Seat . . . . | . | . . . . . . . . . . | . | | | | | | | | | Wash Mach . . . . . | . | Garden Tools . . . | . | . . . . . . . . . . | . | | | | | | | | | Std Ctns . . . . . | . | Kennel . . . . . . | . | . . . . . . . . . . | . | |-------------------------| | | | | | GARAGE | | Ladder . . . . . . | . | . . . . . . . . . . | . | |-------------------------| | | | | | Beach Umb . . . . . | | Mower . . . . . . . | . | . . . . . . . . . . | . | | | | | | | | | Fish Bsket . . . . | . | Pedal Car . . . . . | . | . . . . . . . . . . | . | | | | | | | | | Fish Rods . . . . . | . | Scooter/Trike . . . | . | . . . . . . . . . . | . | | | | | | | | | Golf Bag/Bug . . . | . | Swing . . . . . . . | . | . . . . . . . . . . | . | | | | | | | | | Outboard Motor . . | . | Playgym . . . . . . | . | . . . . . . . . . . | . | | | | | | | | | Sawhorse . . . . . | . | Pool (Dissas) . . . | . | . . . . . . . . . . | . | | | | | | | | | Skis . . . . . . . | . | Tble Tennis Tble . | . | . . . . . . . . . . | . | | | | | | | | | Surfboard . . . . . | . | Wheelbarrow . . . . | . | . . . . . . . . . . | . | | | | | | | | | Timber . . . . . . | . | Pot Plants-Lge . . | . | . . . . . . . . . . | . | | | | | | | | | Tool Boxes . . . . | . | Pot Plants-Sml . . | . | . . . . . . . . . . | . | | | | | | | | | Trunks . . . . . . | . | O/Door Tble-Med . . | . | . . . . . . . . . . | . | | | | | | | | | Welder . . . . . . | . | O/Door Tble-Lge . . | . | . . . . . . . . . . | . | | | | | | | | | Workbench . . . . . | . | Stacker Chairs . . | . | . . . . . . . . . . | . | | | | | | | | | PBO Ctns . . . . . | . | Chairs-Other . . . | . | . . . . . . . . . . | . | | | | | | | | | Std Ctns . . . . . | . | Wood Bench Seat . . | . | . . . . . . . . . . | . | |-----------------------------------------------------------------------------| | TOTAL | | TOTAL | | TOTAL | | +-----------------------------------------------------------------------------+ Client's Signature: . . . . . . . . . . . . Date: . . . . . . . . ANY ITEMS NOT INCLUDED IN THE ABOVE INVENTORY MAY ATTRACT ADDITIONAL CHARGES Page 4 of 4