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CUSTOMER NAME
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Name
SELECT A DATE FOR THE SERVICE
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WHAT DAY IS THAT DATE?
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MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY
What Best Describes Your Move?
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No Truck Needed Moving Within Same Building
Small Studio Size Move - Van Load
1 Bedroom Unit - Small 3T Truck
2 Bedroom Unit - Small 4.5 - 6T Truck
3 Bedroom Unit - Medium 6T-8T Truck
2 Bedroom House - Medium 6T-8T Truck
3 Bedroom House - Large 8-10T Truck
4 Bedroom House - Large 10T-12T Truck
5 Bedroom House - EXTRA Large 12-14 T Truck
6 Bedroom House - EXTRA Large 12-14 T Truck
SMALL OFFICE RELOCATION Small 3T Truck
MEDIUM OFFICE RELOCATION Small 4.5 - 6T Truck
LARGE OFFICE RELOCATION Large 8-10T Truck
Single Item Pickup & Delivery - Van Load
Commercial Fridge Delivery Small 4.5 - 6T Truck
Fridge Pickup & Delivery Van Load
Large Furniture Pickup & Delivery Large 8-10T Truck
Just boxes no furniture Small 3T Truck
Just Appliances No Furniture Small 3T Truck
IKEA Pickup & Deliver Small 3T Truck
GRAYSONLINE Pickup & Delivery Small 3T Truck
MOBILE NUMBER
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STARTING AT WHICH ADDRESS?
Street Address
Suburb
OPTIONAL - NAME AND NUMBER
Are there any Extra PICKUP Locations?
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No
Yes
How Many Extra PICKUP Addresses?
1
2
2ND PICKUP ADDRESS
Street Address
Suburb
OPTIONAL - NAME AND NUMBER
3RD PICKUP ADDRESS
Street Address
Suburb
OPTIONAL - NAME AND NUMBER
IS THERE A DELIVERY ADDRESS?
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Yes
No all of the work is at the one location
DELIVERY ADDRESS?
Street Address
Suburb
OPTIONAL - NAME AND NUMBER
DO YOU HAVE MULTIPLE DELIVERY ADDRESSES?
No
Yes
How Many Extra DELIVERY Addresses?
*
1
2
2nd DELIVERY ADDRESS
Street Address
Suburb
OPTIONAL - NAME AND NUMBER
3rd DELIVERY ADDRESS
Street Address
Suburb
OPTIONAL - NAME AND NUMBER
EMAIL ADDRESS
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3T TRUCK
Small Studio
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0487 399 669
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20% Off Deal
Two Men
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Equipped
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3.T Truck
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10-15 / M3
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45T TRUCK
1-2bed unit
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20% Off Deal
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4-5T Truck
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20-25 / M3
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6-8T TRUCK
2-3bed House
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GST INCL
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20% Off Deal
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6-8T Truck
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25-30 / M3
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2T VAN
Single Items
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GST INCL
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20% Off Deal
Two Men
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Equipped
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2T - Van
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5-10 / M3
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