GOLDEN OAK REMOVALS Milnerton, Cape Town Phone : 021 - 551 6624 Fax : 021 - 551 6653 Quotation Request Form Please provide the Name to which the Quotation should be Addressed : Contact Information : Full Name & Title of Contact Person : Home Telephone Number (include dial code) : Work Telephone Number (include dial code) : Cell Number : Fax Number : E-Mail : Physical Address : Postal Address (if different to physical address) : Short Description of Item(s) to be moved (e.g. household / office / small load) : Moving From (physical location / address ) : Moving To (physical location / address ) : Date of move : Please provide a detailed list of item(s) to be moved : Storage : Please indicate items needed for storage : Indicate how long storage will be required for : Packing : If required, we can assist with packing of kitchen, linen, wardrobe and other such items. Please advise items to be packed (standard cartons provided). We can assist with the packing of your electronic equipment such as Television/HiFi/ Video/Computer. Items are otherwise carried at Owner's risk. Please indicate the items you wish to be packed. We can assist with the packing of fragile items such as Pictures, Mirrors, Glasstops. Items are otherwise carried at Owner's risk. Please indicate the items you wish packed. We can provide plastic covers for item protection - please indicate the number of covers required. Please provide any other information about the item(s) to be moved which has not been covered above or which you wish us to be aware of. If applicable, please provide any special instructions regarding the item(s) removal: Insurance : Will you require Insurance? Goods not insured are carried entirely at owner's risk. We can offer transit insurance in terms of our insurance company's standard conditions. Do you wish us to provide a recommended minimum value? Please note the following : Pot Plants are carried at Owner's risk. "Payment is strictly on Collection basis only." All charges are payable in Cash or Bank Guaranteed Cheques - prior to collection and prior to destination delivery or storage if required unless on approved account which must be accompanied by official order. Final destination must be reasonably accessible. Goods not insured are carried at Owner's risk. Your attention is drawn to the Contractor's condition. All Quotations are subject to our General Conditions as set out on the reverse side of our Official Quotation which customers are earnestly requested to obtain from us for our mutual protection. Should you conclude the Contract with Golden Oak Removals, it will be accepted that you have read the conditions concerned and that you understand the content and effect thereof.