Request for Household Removals Quotation Your Name: Contact Phone Number: Email Address: How did you find us: —Please choose an option—GoogleAdwordsBingYahooRepeatRecommendations Current Address / Postcode Destination Address / Postcode (This allow us to work out how far you are moving) Date of Removal: How many occupants live in the property Do you have the keys to the property your moving to —Please choose an option—YesNo Size of Current Property: —Please choose an option—1 bed2 bed3 bed4 bed5 bed6 bed Is there good access for removal vehicle? —Please choose an option—YesNo Do you require any items to be dismantled? —Please choose an option—YesNo Do you require any items to be disconnected? —Please choose an option—YesNo Selling —Please choose an option—YesNo Buying same day —Please choose an option—YesNo Key waiting —Please choose an option—YesNo Reception Rooms Items Units Items Units Settee, Large Settee, Medium Settee, Small Armchair, Large Armchair, Medium Armchair, Small Occasional Chair Wall Unit China Cabinet, Large China Cabinet, Medium China Cabinet, Small Welsh Dresser Sideboard, Large Sideboard, Medium Sideboard, Small Dining Table, Large Dining Table, Medium Dining Table, Small Gate-leg table, Medium Refectory Table, Large Occasional Table, Small Dining Chair Carver Roll-top Desk, Large Roll-top Desk, Small Bureau, Large Bureau, Small Sectional Bookcase Per Section Bookcase, Large Bookshelves Grandfather Clock Chandelier Standard Lamp Carpet, Fitted Carpet Piano, Upright Piano, Grand Piano, Stool Stereo/ Video T.V./ P.C. Nest Of Tables Music Cabinet Stool Mirror Coffee Table Picture Bedrooms Items Units Items Units Wardrobe Fitment Wardrobe 6'6" Wardrobe 4'6" Wardrobe 3'4" Wardrobe 2'6" Wardrobe Compactum Dressing Table Chest of Drawers, Large Chest of Drawers, Medium Chest of Drawers, Small Folding Bed Bedroom Chair Bed 4ft 6" Bed 3ft Bunk Beds Continental Headboard Child's Cot Bedside Table Box Ottoman Linen Basket Table Lamp Kitchen, Halls Items Units Items Units Cooker Freezer, Upright Freezer, Chest Fridge Fridge Freezer Washing Machine Dryer Vacuum Cleaner Dishwasher Kitchen Table, Large Kitchen Table, Small Kitchen Chair Baby's High Chair Tea Trolley Sewing Machine Hall Table Hall Stand Hall Chair Stair Carpet Safe Outside Effects Items Units Items Units Garden Roller Wheelbarrow Lawn Mower, Manual Motorised Mower Sun Lounger Hose and Reel Garden Tools, per tool Dustbin, normal Stepladder Garden Seat Bicycle Pram Extension Ladder Deck Chairs Work Bench Plant Pots Plants Golf Clubs China, Books, Bags, Boxes, Luggage, Bric-a-Brac. Items Units Items Units Case Books, tea chest size Case, China Glass Case, Kitchen Utensils Case, Miscellaneous Case, Bags/boxes Carton, Linen, Blankets etc Carton, Toys Clothing In Portable Wardrobe Trunk Suitcase Other Useful Information: (please provide further details if required) Security Code
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