Quote Request Form

Customer Name
Telephone No
Email ID
Company Name
Origin Address
Origin Floor
Is Lift Available at Origin
Destination Address
Destination Floor
Is Lift Available at Destin
Preferred Date of
Packing
Preferred Date of Moving
Preferred Date of Deliver
Articles to be Moved
Item Qty Insurance Item Qty Insurance
Value Value
Sofa: 1 Seater Linen and Quilts
Sofa: 2 Seater Mixture, juicer & Grinder
Sofa: 3 Seater Water Filter
Centre Table A/C
Side Table Cooler
Dining table - 4 Seater Invertor
Dining table - 6 Seater Battery
Dining table - 8 Seater Suitcases
Dinning Chair Trunks
Table Pram
Chair Small Pots
Single Cot Medium Pots
Single Mattress Large Pots
Double Cot, Folding cot Iron Board
Double Mattress Acquarium
Deewan Ladder
Double Bed Ex- Cycle
Baby Cot Tread Mill
Dressing table Cycle
Small Mirrors
Cupboard(Almirah)
wooden
Large Cupboard Pictures (Small) god frames
(Almirah) wooden
Small Small Carpet
Cupboard(Almirah) Iron
Large Cupboard Big Carpet
(Almirah) Iron
Show case - 5 Feet Baby Car and cycle
Book Rack Fish Tank/ Bird Cage/ Dog
Shoe Rack Cage
Quilt
Side Board Barbeque Small
Chest of Draw Glass top for table & D.
Wooden Chest Table
Carton Books 18" x 15" x 12"
TV - Portable Carton crockery 20" x 18" x
20"
TV - 21" Carton kitchen 20" x 18" x
TV - 29" 20"
Cylinder (Should be empty)
TV LCD / Plasma
TV Trolley
TV Cabinet
Fridge - Regular
Fridge - Large
Washing M/c
Dryer
Dishwasher
Music System
Home Theatre
VCR/VCD/DVD
Computer
Laptop
Microwave
OTG
Cooking Range
Gas Stove
 Other Articles to be Moved which are not mentioned in list
Item Qty Insurance Item Qty Insurance
Value Value

Vehicles
Two Wheeler Name/Bike Four Wheeler Name/ Car
Registration no. of Two Registration no. of four
wheeler wheeler
Insurance value Insurance value
Make & Model Make & Model

Important Information
Do you require Storage
Should any items be got down through balcony etc.
Is there easy access for loading and unloading at origin and destination
Are there any time restrictions for loading / unloading at origin or
destination
Are there any items which are difficult to handle
Should goods be collected from more than 1 location
Should goods be delivered to more than 1 location
Does you have any special needs or concerns

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