First Name Last Name Winz Quote Please Select Yes No Flexible Dates Please Select Yes No Email Phone Pickup Address Auckland Devonport Waiuku Rotorua Tauranga Akaroa Christchurch Lyttelton Timaru Gisborne Hastings Napier Pahiatua Palmerston North Taihape Wanganui Blenheim Picton Nelson Kaitaia Russell Alexandra Dunedin Kaitangata Oamaru Invercargill Hawera Kapuni New Plymouth Stratford Hamilton Paeroa Te Aroha Tokoroa Waihi Lower Hutt Masterton Porirua Upper Hutt Wellington Greymouth Hokitika Westport Delivery Address Auckland Devonport Waiuku Rotorua Tauranga Akaroa Christchurch Lyttelton Timaru Gisborne Hastings Napier Pahiatua Palmerston North Taihape Wanganui Blenheim Picton Nelson Kaitaia Russell Alexandra Dunedin Kaitangata Oamaru Invercargill Hawera Kapuni New Plymouth Stratford Hamilton Paeroa Te Aroha Tokoroa Waihi Lower Hutt Masterton Porirua Upper Hutt Wellington Greymouth Hokitika Westport Move Type Residential Office Commercial Loading & Unloading Packing & Moving Others Moving Date Moving Time (preferred) No. of Bedrooms Main Items (Specify) Any Extra Heavy items? Please Select Double Door Fridge Upright Piano Spa Pool Pool Table Marble Item Statue Iron Item Wooden item (Heavy) Sewing Machine Kitchen Move Commercial Item (Please specify in Comments Section) Any other Items (Please specify in Comments Section) Do the above mentioned extra heavy items go through any stairs? YES (Specify levels of stairs) /NO* Packing Service Please Select Yes No Packing Materials Please Select Yes No No of Levels of Stairs at Both Locations Parking Access at Both Locations Fine Parking Narrow Road Steep Road Long Road Busy Road with Public Transports Tree or Tree Branches will interfere with the truck Complicated Access (Please specify in Comments Section) No Parking Available Fragile Items? Assemble/Disassemble Furniture Please Select Yes No Comments/Request Submit