Orders / Charges info / Delivery receipt- copy

Order number*

Client name*

Tel*

Email*

Moving from*

Street Address Appartment / Flat City ZIP / Postal Code

Moving to*

Street Address Appartment / Flat City ZIP / Postal Code

Move start*

Move finish*

Job hours*

Travel time*

Total hours*

Moving date*

Packaging date*

Move type*

Vans*

Please enter a number from 1 to 10.

Wardrobe boxes

Dish pack

Medium boxes

Small boxes

Picture boxes

Parking charge

Waiting time

Storage

Con, Toll, Ferry

Additional teams

Others

Estimate or remarks

Please note*

By ticking this box I confirm that I have checked all vans used for my move and that they no longer contain any of my items.
I agree that my credit/debit card will be charged with full payment of my move plus any other relevant charges, upon completion of the provided service.

Rate Us*

Payment*

Payment received*

Customer signature*

CAPTCHA

Unless noted above, all services and goods were received as contracted.

Residential – orders / charges info / delivery receipt