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Number of Containers: 0
PERSONAL / REMOVAL DETAILS
Name
:
Home Tel:
Email:
Work/Mobile:
Removal Date
:
January
February
March
April
May
June
July
August
September
October
November
December -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31 -
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Value of Insurance Cover required:
Which website did you use to find us?
Select
Google
yell.com
Yahoo
Help I am moving
Other
Have we moved you before?
Select
Yes
No
Were you recommended to us?
Select
Yes
No
Do you require anything dismantling / re erecting?
PROPERTY DETAILS
Removals From
Removals To
House No/Name
:
House No/Name
:
Street
:
Street
:
Town
:
Town
:
Country
:
Country
:
Postcode
:
-
Postcode
:
-
Do you require a packing service?
Select
Full pack
Fragiles only pack
No packing required
If not known, estimated miles:
1 - 60 miles
60 - 100 miles
100 - 150 miles
150 - 200 miles
200 - 250 miles
250+ miles
House Type:
House
Purpose Built Flat
Maisonette
House Type:
House
Purpose Built Flat
Maisonette
Bedrooms:
1
2
3
4
5 or more
Bedrooms:
1
2
3
4
5 or more
Receptions:
1
2
3 or more
Receptions:
1
2
3 or more
Collection/Delivery Floor:
Ground
1
st
2
nd
3
rd
or above
Collection/Delivery Floor:
Ground
1
st
2
nd
3
rd
or above
Is there a lift:
Yes
No
Is there a lift:
Yes
No
Parking:
Outside Property
Yellow Line(s)
Red Route
Car Park
Parking:
Outside Property
Yellow Line(s)
Red Route
Car Park
Parking distance from door?:
Parking distance from door?:
Removal Access through windows:
Yes
No
Removal Access through windows:
Yes
No