Contact Details First Name: * Last Name: * Phone: * Mobile: Email: * Moving From: Moving To: City: Auckland Alexandra Ashburton Bay of slands Blenheim Christchurch Dunedin Gisborne Gore Greymouth Hamilton Hastings Hokianga Hokitika Hutt City Invercargill Kaikoura Kaitaia Kerikeri Levin Masterton Napier Nelson New Plymouth Oamaru Palmerston North Paraparaumu Queenstown Rotorua Taumarunui Taupo Tauranga Timaru Waihi Wanaka Wanganui Wellington Westport Whakatane Whangarei City: Auckland Alexandra Ashburton Bay of slands Blenheim Christchurch Dunedin Gisborne Gore Greymouth Hamilton Hastings Hokianga Hokitika Hutt City Invercargill Kaikoura Kaitaia Kerikeri Levin Masterton Napier Nelson New Plymouth Oamaru Palmerston North Paraparaumu Queenstown Rotorua Taumarunui Taupo Tauranga Timaru Waihi Wanaka Wanganui Wellington Westport Whakatane Whangarei Suburb: Albany Alfriston Arch Hill Ardmore Arkles Bay Army Bay Avondale Balmoral Bayswater Beach Haven Belmont Birkdale Birkenhead Blockhouse Bay Botany Downs Browns Bay Bucklands Beach Campbells Bay Castor Bay City Centre Clendon Clover Park Coatesville Cockle Bay Conifer Grove Dairy Flat Dannemora Devonport Donegal Park Dury East Tamaki Eastern Beach Eden Terrace Edgewater Ellerslie Epsom Farm Cove Favona Flat Bush Forrest Hill Freemans Bay Glen Eden Glen Innes Glendene Glendowie Glenfield Glenvar Grafton Green Bay Greenhithe Greenlane Grey Lynn Gulf Harbour Half Moon Bay Hatfields Beach Hauraki Henderson Henderson Valley Herald Island Herne Bay Highland Park Hillcrest Hillsborough Hobsonville Homai Howick Huapai Karaka Park Kelston Kingsland Kohimarama Kumue Laingholm Leabank Lincoin Little Manly Long Bay Lynfield Mairangi Bay Mangere Mangere Bridge Mangere East Manly Manukau Manurewa Massy Matakatia Bay Mclaren Park Meadowbank Mellons Bay Mercer Middlemore Milford Mission Bay Morningside Mt Albert Mt Eden Mt Roskill Mt Wellington Murrays Bay New Lynn New Windsor Newmarket Newton North Harbour Northcote Northcote Central Northcross Okura One Tree Hill Onehunga Opaheke Orakei Oranga Oratia Orewa Otahuhu Otara Owairaka Pahurehure Pakuranga Pakuranga Hgts Panmure Papakura Papatoetoe Papatoetoe West Parau Paremoremo Parnell Penrose Pine hill Point Chevalier Point England Ponsonby Rakino Island Ranui Red Beach Red Hill Remuera Riverhead Rosehill Rothesay Bay Royal Heights Royal Oak Sandringham Shelly Park Silverdale Silverdale North South Titirangi Southdown St Heliers St Johns St Lukes St Marys Bay Stanley Bay Stanmore Bay Stillwater Sunnybrae Sunnyhills Sunnynook Sunnyvale Swanson Takanini Takapuna Te Atatu Peninsula Te Atatu South Te Paprapa Three Kings Tindalls Beach Titirangi Titirangi South Torbay Totara Height Tuscany Estates Unsworth Hgts Wade Heads Wai-O-Taiki Bay Waiake Waiatarua Waiheke Island Waikowhai Waima Waimanu Bay Wainoni Park Waitakere Waiwera Waterview Wattle Downs West Harbour Western Heights Western Springs Westfield Westlake Westmere Weymouth Whangaporoa Whenuapai Wiri Woodlands Park Suburb: Albany Alfriston Arch Hill Ardmore Arkles Bay Army Bay Avondale Balmoral Bayswater Beach Haven Belmont Birkdale Birkenhead Blockhouse Bay Botany Downs Browns Bay Bucklands Beach Campbells Bay Castor Bay City Centre Clendon Clover Park Coatesville Cockle Bay Conifer Grove Dairy Flat Dannemora Devonport Donegal Park Dury East Tamaki Eastern Beach Eden Terrace Edgewater Ellerslie Epsom Farm Cove Favona Flat Bush Forrest Hill Freemans Bay Glen Eden Glen Innes Glendene Glendowie Glenfield Glenvar Grafton Green Bay Greenhithe Greenlane Grey Lynn Gulf Harbour Half Moon Bay Hatfields Beach Hauraki Henderson Henderson Valley Herald Island Herne Bay Highland Park Hillcrest Hillsborough Hobsonville Homai Howick Huapai Karaka Park Kelston Kingsland Kohimarama Kumue Laingholm Leabank Lincoin Little Manly Long Bay Lynfield Mairangi Bay Mangere Mangere Bridge Mangere East Manly Manukau Manurewa Massy Matakatia Bay Mclaren Park Meadowbank Mellons Bay Mercer Middlemore Milford Mission Bay Morningside Mt Albert Mt Eden Mt Roskill Mt Wellington Murrays Bay New Lynn New Windsor Newmarket Newton North Harbour Northcote Northcote Central Northcross Okura One Tree Hill Onehunga Opaheke Orakei Oranga Oratia Orewa Otahuhu Otara Owairaka Pahurehure Pakuranga Pakuranga Hgts Panmure Papakura Papatoetoe Papatoetoe West Parau Paremoremo Parnell Penrose Pine hill Point Chevalier Point England Ponsonby Rakino Island Ranui Red Beach Red Hill Remuera Riverhead Rosehill Rothesay Bay Royal Heights Royal Oak Sandringham Shelly Park Silverdale Silverdale North South Titirangi Southdown St Heliers St Johns St Lukes St Marys Bay Stanley Bay Stanmore Bay Stillwater Sunnybrae Sunnyhills Sunnynook Sunnyvale Swanson Takanini Takapuna Te Atatu Peninsula Te Atatu South Te Paprapa Three Kings Tindalls Beach Titirangi Titirangi South Torbay Totara Height Tuscany Estates Unsworth Hgts Wade Heads Wai-O-Taiki Bay Waiake Waiatarua Waiheke Island Waikowhai Waima Waimanu Bay Wainoni Park Waitakere Waiwera Waterview Wattle Downs West Harbour Western Heights Western Springs Westfield Westlake Westmere Weymouth Whangaporoa Whenuapai Wiri Woodlands Park Street: Street:  RowSteep upSteepdownNarrowWideTreesHard turns RowSteep upSteepdownNarrowWideTreesHard turns Moving Details Approximately moving date and time: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2010 2011 2012 05:00 05:30 06:00 06:30 07:00 07:30 08:00 08:30 09:00 09:30 10:00 10:30 11:00 11:30 12:00 12:30 13:00 13:30 14:00 14:30 15:00 15:30 16:00 16:30 17:00 17:30 18:00 18:30 19:00 19:30 20:00 20:30 21:00 21:30 22:00 Travelling time between homes: 0.5 hr 1 hr 1.5 hr 2 hr 2.5 hr 3 hr 3.5 hr 4 hr 4.5 hr 5 hr 5.5 hr 6 hr 6.5 hr 7 hr 7.5 hr 8 hr 8.5 hr 9 hr 9.5 hr 10 hr Do you require packing materials? Yes No Do you require packers to pack and unpack your items? Yes No Property Type: HouseAppartmentFlatTownhouse   No of bedroom: 0 1 2 3 4 5 6 7   No of level: 1234   No of office: 012   No of lounge: 012   No of garage: 012   What upstair: Master BedroomBedroomLounge KitchenOfficeEntertainment Room   Outdoor furniture: TableSwingChairBBQPop Plants   What level apartment: 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17   Is there a lift?: YESNO  Does all your furniture fit into the lift? YESNO  Number of level apartment 123   Number of bedroom: 0 1 2 3 4 5 6 7   Number of level: 1234   What upstair: Master BedroomBedroomLoungeKitchenOfficeEntertainment Room   Outdoor furniture: TableSwingChairBBQPop Plants   No of bedroom: 0 1 2 3 4 5 6 7   No of level: 1234   No of office: 012   No of lounge: 012   No of garage: 012   What upstair: Master BedroomBedroomLounge KitchenOfficeEntertainment Room   Outdoor furniture: TableSwingChairBBQPop Plants House Content Check List Bedroom 1 Air conditioner * 0.3 Bed - Single * 1 Bed - Double * 1.2 Bed - Queen * 1.4 Bed - King * 2 Bedside table * 0.4 Book case * 0.5 Box or chest * 0.25 Chair * 0.4 Chest of drawers * 0.7 Dressing table * 1.1 Fan * 0.1 Mirror * 0.1 Stereo * 0.1 Stool * 0.3 Television * 0.12 Valet * 0.1 Video * 0.1 Wardrobe * 1.2 Standard cartons * 0.15 Book cartons * 0.1 Picture cartons * 0.05 Portarobes * 1 Bedroom 2 Bed - Bunks * 1.2 Bed - Single * 1 Bed - Double * 1.2 Bed - Queen * 1.4 Bedside table * 0.4 Book case * 0.3 Chair * 0.15 Chest of drawers * 0.3 Desk * 0.4 Dressing table * 1.1 Wardrobe * 1.2 Standard cartons * 0.15 Book cartons * 0.1 Picture cartons * 0.05 Portarobes * 1 Bedroom 3 Baby bath * 0.1 Bassinette & stand * 0.5 Bed - Single * 1 Bed - Double * 1.2 Bed - Queen * 1.4 Book case * 0.3 Chair * 0.15 Change table * 0.9 Chest of drawers * 0.3 Cot * 0.5 Dressing table * 1.1 Playpen * 0.5 Pram * 0.3 Toy box * 0.5 Wardrobe * 1.2 Standard cartons * 0.15 Book cartons * 0.1 Picture cartons * 0.05 Portarobes * 1 Bedroom 4 Bed - Bunks * 1.2 Bed - Single * 1 Bed - Double * 1.2 Bed - Queen * 1.4 Bedside table * 0.4 Book case * 0.3 Chair * 0.15 Chest of drawers * 0.3 Desk * 1 Dressing table * 1.1 Wardrobe * 1.2 Standard cartons * 0.15 Book cartons * 0.1 Picture cartons * 0.05 Portarobes * 1 Study Book case * 0.5 Chair * 0.15 Computer * 0.1 Desk * 0.4 Filing cab - 2 drawer * 0.2 Filing cab - 4 drawer * 0.4 Standard cartons * 0.15 Book cartons * 0.1 Hall Bureau * 0.9 Chair * 0.15 Glory box * 0.4 Grandfather clock * 0.9 Hall stand * 1.1 Hall table * 0.6 Hat stand * 0.2 Mirror * 0.5 Painting * 0.1 Pedestal * 0.2 Rug * 0.2 Standard cartons * 0.15 Book cartons * 0.1 Lounge Air conditioner * 0.3 Arm chair * 0.45 Bean bag * 1 Book case * 0.3 Bureau * 1 Card table * 0.1 China cabinet * 0.5 Cocktail cabinet * 1 Coffee table * 0.25 Desk * 0.3 Divan * 0.9 DVD player * 0.1 Entertainment unit * 1.2 Fish tank * 0.5 Foot stool * 0.15 Heater * 0.15 Lounge - 2 seater * 1.1 Lounge - 3 seater * 1.4 Magazine tidy * 0.1 Nest of tables * 0.25 Occasional table * 0.5 Organ * 1 Piano * 1.4 Piano stool * 0.2 Plant stand * 0.1 Room divider * 0.2 Standard lamp * 0.1 Stereo * 0.25 Speakers * 0.1 Television * 0.3 Video * 0.1 Wall unit * 1.2 Standard cartons * 0.15 Book cartons * 0.1 Picture cartons * 0.05 Dining room Book case * 0.3 Buffet/sideboard * 1.1 Bureau * 1.2 Chairs - dining * 0.1 China cabinet * 0.85 Dresser * 1.5 Traymobile * 0.1 Table - dining * 0.85 Standard cartons * 0.15 Book cartons * 0.1 Picture cartons * 0.05 Family room Bar * 1.4 Billiard table * 1.4 Book case * 0.3 Chair * 0.15 Computer * 0.1 Desk * 0.4 Lounge - 2 seater * 1.1 Lounge - 3 seater * 1.4 Sewing cabinet * 1 Sewing machine * 0.1 Stereo * 0.1 Stool * 0.3 Table * 0.85 Television * 0.3 Vacuum cleaner * 0.1 Video * 0.1 Wall unit * 1.2 Standard cartons * 0.15 Book cartons * 0.1 Picture cartons * 0.05 Kitchen Cabinet * 1 Cupboard * 1 Chair * 0.25 Dishwasher * 0.9 Dresser * 0.9 Freezer * 0.85 Highchair * 0.3 Microwave * 0.1 Refridgerator * 0.85 Stool * 0.25 Table * 0.85 Tidy * 0.3 Standard cartons * 0.15 Book cartons * 0.1 Laundry Basket * 0.2 Brooms etc * 0.1 Bucket * 0.1 Clothes airer * 0.1 Clothes dryer * 0.6 Cupboard * 1 Freezer * 0.85 Ironing board * 0.15 Linen basket * 0.2 Trolley * 0.3 Washing machine * 0.6 Standard cartons * 0.15 Garage/Outside Antenna * 0.1 Bicycle * 0.3 Barbecue * 0.4 Camping gear * 1 Canoe * 1 Chair * 0.3 Dog kennell * 1 Dust bin * 0.1 Esky * 0.1 Garden seat * 1 Garden tools * 0.5 Golf clubs * 0.4 Gym set * 1 Hose * 0.1 Ladder * 0.25 Motorbike * 1.5 Mower * 0.2 Outdoor setting * 1.2 Swing set * 1.2 Shelving * 0.5 Table * 1 Tool chest * 0.3 Trampoline * 1 Wading pool * 0.2 Wardrobe * 1 Wheelbarrow * 0.3 Whipper snipper * 0.1 Work bench * 1.2 Standard cartons * 0.15 Book catons * 0.1 Plants Small * 0.3 Medium * 0.5 Large * 1 Please Type Validation Code: