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Maxwell Relocations

Relocations Request Form
Customer Name *
Phone No *
Email ID *
Corporate/Private *
Origin Address *
Origin Floor *
Is Lift Available at Origin *
Is Shuttle Service is required at Origin
Destination Address *
Destination Floor *
Is Lift Available at Destination *
Is Shuttle Service is required at Destination
Special Instructions for Handy Men Services
Preferred Date of Packing *
Preferred Date of Moving *
Preferred Date of Delivery *
Articles to be Moved
Item Qty Insurance Value Desc Remark (damage if any)
Sofa: Seater
Centre Table
Book Rack
Shoe Rack
Side Board
Tv(Inches 24",32"48"...)
TV Cabinet
Cooler
Mirrors
Carpet
Books (No Of Boxes)
Articles to be Moved
Item Qty Insurance Value Desc Remark (damage if any)
Dining Table
Dinning Chair
Side Table
Table
Deewan
Chest of Draw
Wooden Chest
Fridge - Regular
Fridge - Large
Music System
Home Theatre
VCR/VCD/DVD
Computer
Wall frames
Paintings
Iron Board
Tread Mill
Cycle
Fish Tank

Articles to be Moved
Item Qty Insurance Value Desc Remark (damage if any)
Microwave
OTG
Cooking Range
Gas Stove
Cylinder
Grinder
Mixer
Water Filter
Quilt
Barbeque
Utensiles (No Of Boxes)
Plastic (No Of Boxes)
Kitchen wear (No Of Boxes)

Articles to be Moved
Item Qty Insurance Value Desc Remark (damage if any)
Single Cot
Single Mattress
1. Double Cot(box type with storage 2. normal)
Double Mattress
Dressing Table
Cupboard
Steel Almera
Window AC
Split AC
Suitcases
Clothes (No Of Boxes)
Trunks
Mirrors

Articles to be Moved
Item Qty Insurance Value Desc Remark (damage if any)
Window AC
Split AC
Baby Car and cycle
Clothes (No Of Boxes)
Books (No Of Boxes)
Single Cot
Single Mattress
1. Double Cot(box type with storage 2. normal)
Double Mattress
Pram
Mirrors

Articles to be Moved
Item Qty Insurance Value Desc Remark (damage if any)
Washing M/c
Dishwasher
Ex- Cycle
Ladder
Inverter
Battery
Other Articles to be Moved
Item Qty Insurance Value Item Qty Insurance Value Item Qty Insurance Value Remark (damage if any)
Carton for Clothes
Dish Antena
Miscellaneous Box
Cylinder
Geyser
Cloth Stand
Vehicles
Item Qty Insurance Value Remark (damage if any)
Motor Bike / Scooter Make & Model
CAR Make & Model
Important Information
Item Remark (damage if any)
Society Permission - By Client Only
Is there easy access for loading and unloading at origin and destination
Are there any time restrictions for loading / unloading at origin or destination
Distance from Lift to Vechicle ( long carry)
Are there any items which are difficult to handle
Are there any items which are already damaged
Should goods be collected from more than 1 location
Should goods be delivered to more than 1 location
Do you require Storage
Does you have any special needs or concerns

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