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Day Night Removals
Telephone:
021 903 0804
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Inventory Form
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Name:
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Email:
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Fax:
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Cell:
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Tel:
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Where did you hear about us?
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Date of Removal:
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
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
Year
Year
2025
2026
2027
2028
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Move from Address:
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What Floor:
Ground Floor
1
2
3
4
Above 5
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Lift or Stairs:
None
Lift
Stairs
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Move to Address:
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What floor:
Ground Floor
1
2
3
4
Above 5
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Lift or Stairs:
None
Lift
Stairs
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Entrance/Telephone Table:
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Display/Wash Table:
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Coffee Table:
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Coffee Table Size
- None -
Small
Medium
Large
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Side Tables:
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Upright Chairs:
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Arm Chairs:
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Arm Chairs(Bulky/Lazy Boy):
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2 Seater Couch:
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3 Seater Couch:
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4 Seater Couch:
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Bookcase:
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Bookcase Size
- None -
Small
Medium
Large
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Display Cabinet:
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Display Cabinet Size
- None -
Small
Medium
Large
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Wall Unit:
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Wall Unit Size
- None -
1Piece
2Piece
3Piece
4Piece
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TV Cabinet:
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TV Cabinet Size
- None -
Small
Medium
Large
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TV Set:
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VCR MNet DVD:
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HI-FI Equipment:
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Kist:
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Single or ¾ Bed:
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Double Bed:
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King/Queen Bed:
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Headboards:
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Pedestals:
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Dressing Table:
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Chest of Drawers:
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Upright Chair:
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Arm Chair:
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Clothes Horse:
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Compactum:
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Cot:
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Wardrobe Gents:
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Wardrobe Ladies:
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Bar Stools:
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Bicycles:
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Carpets:
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Chairs: Folding:
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Dog Kennels:
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Dog Kennels Size
- None -
Small
Medium
Large
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Exercise Machine/Health Walker:
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Fan:
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Heater:
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Hose Pipe:
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Ironing Board:
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Lamp:
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Paintings/Mirrors:
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Pot Plants: Small:
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Pot Plants: Medium:
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Pot Plants: Large:
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Safe:
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Safe Size:
- None -
Small
Medium
Large
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Satellite Dish:
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Tables: Folding:
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Trunk/Trommel:
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Umbrella (Garden):
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Vacuum Cleaner:
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Washing Basket:
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Washing Rack/Stand:
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Wheelbarrow:
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Dining Table:
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Dining Table Size
- None -
Small
Medium
Large
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Dining Room Chairs:
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Sideboard:
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Sideboard Size
- None -
Small
Medium
Large
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Tea Trolley:
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Hostess:
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Welsh Dresser:
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Desk:
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Desk Size:
- None -
Small
Medium
Large
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Office Chairs:
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Credenza:
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Computer / Printer:
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Computer Stand:
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Filing Cabinet:
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Bookcase:
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Fridge:
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Fridge Size:
- None -
Small
Medium
Large
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Deep Freeze:
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Deep Freeze Size:
- None -
Small
Medium
Large
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Microwave:
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Stove:
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Tumble Dryer:
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Washing Machine:
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Dish Washer:
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Kitchen Table:
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Chairs:
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Dust Bin:
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Workbench:
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Workbench Size
- None -
Small
Medium
Large
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Tool Cupboard:
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Toolbox:
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Ladder:
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Lawnmower:
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Weedeater:
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Garden Tools:
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Machinery:
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Machinery Please List:
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Braai:
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Braai Size
- None -
Small
Medium
Large
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Garden Bench:
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Garden Table: Rigid:
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Garden Chairs: Rigid:
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Garden Table: Fold Up:
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Garden Chairs: Stack:
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1.
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1.a
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2.
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2.a
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3.
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3.a
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4.
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4.a
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5.
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5.a
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6.
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6.a
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1.
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1b
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y/n1
- None -
Yes
No
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2.
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2b
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y/n2
- None -
Yes
No
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3.
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3b
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y/n3
- None -
Yes
No
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4.
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4b
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y/n4
- None -
Yes
No
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Number of Boxes:
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Number of Suitcases:
CUSTOMER INFO
LOCATION INFO
ENTRANCE / LOUNGE
BEDROOMS
OTHER
DINING ROOM
STUDY
KITCHEN
GARAGE
PLEASE LIST ALL OTHER ITEMS
OUTSIDE AREA
ANY DISMANTLING
