HOUSEHOLD GOODS ESTIMATE FORM
(PACKING LIST FOR ESTIMATION PURPOSES)

 

Name:
Phone: Fax:
E-mail:

Address you are moving from:

Destination Town/City:

 

Shipment Method: Sea Air Part air/Part sea

Service Required: Arrival port or airport only Delivery to residence

Is storage required: Yes No

Time period of storage:

Origin storage or destination storage: Origin Destination

Moving date:
Approx insurance value:

Origin property access details
(house, 1st floor, 2nd floor, long carry etc.):

Destination property access details
(house, flat, 1st floor, 2nd floor, long carry etc.):


LIVING ROOM
4 Seater Sofa  70 3 Seater Sofa  55
2 Seater Sofa:  40 Armchairs:  25
Coffee Table  15 Bureau  15
Sideboard  25 Corner Unit Large  20
Corner Unit Small  15 Wall Unit Large  25
Wall Unit Small  15 TV  15
VCR   5 Hifi/Stereo - Mini  10
TV video cabinet  15 Hifi/Stereo - Full  20
Bookcase  30 Hifi/stereo cabinet  14
Upright Piano  45 Occasional Table  15
Baby Grand Piano  65 Carpets & Rugs   8
Grand Piano  85      
Other:
DINING ROOM
Table  30 Chairs   9
Carver Chair  15 Sideboard  25
Buffet  25 Carpets & Rugs   8
Other:
KITCHEN
Stove  25 Refrigerator  60
Freezer  50 Washing Machine  25
Dryer  25 Dishwasher  20
Microwave   5 Chairs   9
Ironing Board   4 Stools   5
Vacuum Cleaner   8      
Other:
BATHROOM
Cabinet  10      
Other:
BEDROOMS
King/Queen/Double beds  75 Single Beds  30
Double Wardrobe  35 Single Wardrobe  20
Tallboy  30 Chest of Drawers  20
Dressing Tables  20 Ottoman  10
Bedside Cabinets   5 Crib 25 
Chairs  10      
STUDY
Desk  20 Filing Cabinets
(2 drawer)		   9
Chair   9 Filing Cabinets
(3 drawer)		   12
      Filing Cabinets
(4 drawer)		  15
Other:
HALLS/LANDING/STAIRS
Table  15 Chairs   8
      Hat Stand  10
Other:
Garden (please list goods)
Patio/Outdoor Furniture (please list goods)
Attic/Loft/Garage (please list goods)
Sports Equipment (please list goods)

 

Car:(manufacturer/model/year)

Motorcycle:(manufacturer/model/year)

Other:


NEDRAC Inc.
5930 Lakeshore Drive • Cypress, CA 90630
Telephone (714) 826-3836 - Facsimile (714) 826-3837
FMC OTI 3148NF