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Name:
Home phone:		Work phone:
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Packing materials required

Storage requiredfor number of weeks

Pickup Address:
Metres: street to front door
Floor level: eg 1st Floor
Unit No.:		Address:
Suburb/town:
State:		Postcode:

Delivery Address:
Metres: street to front door
Floor level: eg 1st Floor
Unit No.:		Address:
Suburb/town:
State:		Postcode:

Inventory

*Please enter quantities in box provided, leave blank for none

Bedroom 1
King bed(Apart) Queen bed(Apart) Double bed(Apart) Single bed(Apart) Bedside table Chair(dining size) Bookcase(1.8x1) Cupboard(1.8x.5)	Chest of drawers Dressing table 3 seat Lounge Plasma/LCD/LED PortaRobe(1.2x.5) Box small Box large(60x40x40) Computer Cot(Dismantled)
Bedroom 2
King bed(apart) Queen bed(apart) Double bed Single bed Bedside table Chair(dining size) Bookcase(1.8x1) Cupboard(1.8x.5)	Chest of drawers Dressing table 3 seat lounge Plasma/LCD/LED PortaRobe(1.2x.5) Box small Box large(60x40) Computer Cot(dismantled)
Bedroom 3
King bed Queen bed Double bed Single bed Bedside table Chair(dining size) Bookcase(1.8x1) Cupboard(1.8x.5)	Chest of drawers Dressing table 2-3 Seat Lounge Plasma/LCD/LED PortaRobe(1.2x.5) Boxes small Box large(60x40) Computer Cot(dismantled)
Bedroom 4
King bed Queen bed Double bed Single bed Bedside table Chair(dining size) Bookcase(1.8x1) Cupboard(1.8x.5)	Chest of drawers Dressing table 2-3 Seat Lounge Plasma/LCD/LED PortaRobe(1.2x.5) Boxes small Box large(60x40) Computer Cot(dismantled)
Bedroom 5
King bed Queen bed Double bed Single bed Bedside table Chair(dining size) Bookcase(1.8x1) Cupboard(1.8x.5)	Chest of drawers Dressing table 2-3 seat lounge Plasma/LCD/LED PortaRobe(1.2x.5) Boxes small Boxes large Computer Cot(dismantled)
Lounge
Single Armchair 2 Seater Lounge 3 Seater Lounge Modular(3 pieces) Bookcase(1.8x1) China cabinet(1x1) Cabinet(1x.5) Coffee table Desk TV unit(2x1.5x.5) Occasional table Dining chairs Boxes small Boxes large	Pianola Upright Piano Electric Organ Rug Speakers Lamp Stereo Television sml Television med TV Plasma/LCD/LED DVD/Video Player Lowline cabinet Wall unit(2x2x.6)
Family room
Single Armchair 2 Seater Lounge 3 Seater Lounge Bookcase Dining Chair TV unit (2x1.5x.5) Coffee table Pool table(8x4)	Stereo Plasma/LCD/LED Lowline cabinet Wall unit(2x2x.6) Computer Boxes small Boxes large
Dining room
Bookcase(1.8x1) Buffet/sideboard Dining chairs Cabinet/wall unit	Dresser Other chairs Dining Table(2x1x1) Boxes small Boxes large
Hall
Bench(1x1x.5) Bookcase(1.8x1) Mirror Hall table	Hat stand Pedestal Phone table Boxes small Boxes large
Study
Bookcase(1.8x1) PC Chair Computer Desk(1.8x1x.5)	2dr Filing cabinet 4dr Filing Cabinet Boxes small Boxes large
Kitchen
Cabinet(1x1) Dining Chair Dishwasher Dresser Large Freezer Small Freezer Boxes small Boxes large	Microwave Double Door Fridge Large Fridge Bar Fridge Stool Large Table(2.4m) Medium Table(1.8m)
Laundry
Clothes dryer Cupboard(1.8x.5) Freezer Ironing board	Linen basket Table(1x1x1) Washing machine Boxes small Boxes large
Outside/Misc.
Barbeque Small Barbeque Large Bicycle Dog kennel(1x.5) Bench large(2x1x1) Outdoor bench sml Table(2x1x1) Outdoor chair Lawn mower Fridge Swing (dismantled)	Table Trampoline(apart) Tool box(Handheld) Cupboard(1.8x1) Wheel barrow Work bench(1.5x1) Boxes small Boxes large


Please indicate any further information in the field below: eg. Oversized items, Shop, Lift, Narrow Lanes, Items not on list, no parking, Farm access Ect. your comments here..

CONTACT DETAILS
FREE Call:	1800 738 386
Tel:	07 55 200 488
Fax:	07 55 200 588
Mobile:	0411 88 66 17
Email: quotes@backloading4u.com.au Depot Adddress: 335 Reedy Creek Rd Burleigh Waters, Qld 4220 Postal Adddress: Po Box 2709, Burleigh BC Burleigh Waters, Qld 4220

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Interstate Backloading Experts