Clients Details

Name

Surname

Contact Number *

Alternative Contact Number

Email Address *

Residential Address

Removal Details

Collection address *

Delivery address *

Removal Date *

Removal Time *

Other (please specify)

Number of bedrooms in house from which removal is taking place / Number of offices

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Fridge / freezer

Washing machine / dishwasher / tumble dryer

Oven / stove

Couch

Dining table

Coffee table

TV stand

Book case

Single bed

Double bed (or larger)

Cabinet, cupboard, chest drawer

Desks

Bicycles

Outdoor furniture, tables or chairs

Outdoor equipment (eg. lawnmower)

Approximate number of boxes, suitcases and / or plastic bags

Are there any large or unique items to be transported (eg. Piano)? Please specify

Will the removal require carrying furniture up and down stairs? If so, please indicate the number of storeys.

Do you have any special requirements with regards to the removal? Is there anything you would like to bring to our attention? Please specify.

PLEASE NOTE: In order for us to provide a correct quote, this form should be completed as accurately as possible. Failure to provide a true reflection of your removal requirements could lead to additional costs.

We also offer a wide variety of moving boxes and packaging materials. Please enquire with us for an additional quotation

By submitting this fom, you agree that you have read and understood our Terms and Conditions here

Removals

Clients Details

Removal Details

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