Whirlwind Info Request

Please fill in the following short questionnaire.
We will phone you, to discuss your requirements and costs.

Please note: From the information supplied below, we will only be able to give you a guide on hourly
rates and costs. If you wish to proceed with a booking, additional information will be required.
Or, you require a more accurate cost guide, please click here to fill in a more detailed form.

Use your "Tab" key to move from field to field and your "Mouse" for the selection boxes.

Name:

E-mail:

If you are a previous client and have your last job number,
please put it in the box below. Thank you.

Previous Job No:

PLEASE ENSURE YOUR CONTACT DETAILS ARE CORRECT!

Home Phone No: Work Phone No:

Mobile No: Fax No:

Required Date Of Move:

Are your moving from:

A Unit to a Unit A Unit to a House

A House to a House A House to a Unit

A Unit or House to Storage

Other

Are your moving from:

Rental to Rental        Rental to Purchased

Sold to Rental        Sold to Purchased

Renovation Move        Other

If you are buying and/or selling, what is the settlement time?

Pick-Up Address

Address:
Suburb & City:
State: Post Code:

2nd Pick-Up Address
Address:
Suburb & City:
State: Post Code:

3rd Pick-Up Address
Address:
Suburb & City:
State: Post Code:

Delivery Address

Address:
Suburb & City:
State: Post Code:

2nd Delivery Address
Address:
Suburb & City:
State: Post Code:

3rd Delivery Address
Address:
Suburb & City:
State: Post Code:


ADDITIONAL INFORMATION
Is there any other information we should know? For example: Is there any furniture that will need to be dismantled ? Are there items not listed above e.g. Motorbike, jet-ski, lathe etc.? Are there items which may cause difficulty during your relocation ? e.g. sofa through a window - raising or lowering items from a balcony.

How did you discover Whirlwind Removals?