Relocation and Personal Information

Thank you for choosing Farragher for your removal enquiry. To assist you with your enquiry we require you to fill in the relevant information supplied below.
Once you have completed the information and press SUBMIT, one of our relocation consultants will contact you with an “indicative” quotation based on the information you have supplied. Please note that fields marked with an asterix (*) are mandatory.

Please download this inventory spreadsheet (Microsoft Excel format) and attach it to the form below.

Name (first & last) *		Mobile
Phone (Home) *		Fax
Phone (Work)		E-mail *

Address of Pick Up
Suburb *		Postcode *
Address of Delivery
Suburb *		Postcode *

Preferred Date for Pre-pack:		(D/M/Y)
Preferred Date for Pick Up: *		(D/M/Y)
Preferred Date for Delivery: *		(D/M/Y)

Access Details	(Please tick or give number where applicable)
At Pick up		At Delivery (Please provide details if known)
House	Nr of floors:	House	Nr of floors:
Apartment	Floor level:	Apartment	Floor level:
Distance door to street (meters):		Distance door to street (meters):
Street access:	Double lane	Street access:	Double lane
	Single lane		Single lane
	Court location		Court location
Obstacles	Trees	Obstacles	Trees
	Overhead cables		Overhead cables
	Steep access		Steep access
	Tight turns		Tight turns
Parking on Street	Yes No	Parking on Street	Yes No
Parking on Driveway	Yes No	Parking on Driveway	Yes No


Please Indicate other Services as you may require
Pre - Pack *	Yes No
Vehicle transportation	Vehicle type:		Model:
	Vehicle type:		Model:
Pet relocation	Name/breed
	Name/breed
Special pet req.
Valet service at uplift	Yes No	At destination:	Yes No
Unpacking service*	Yes No
Other
Storage at origin:	Approx. period (wks):	Storage at destination:	Approx. period (wks):

Please attach your inventory spreadsheet here: *