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Removal Day
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Packing Tips
Packaging
Comments
Please fill in all fields marked with a *
Title
Mr
Mrs
Ms
Dr
Miss
Rev
Name
*
Estimated date of removal
Current full address
*
Post code
Nearest landmark
Current phone number
*
Email address
*
Property type
House
Cottage
Bungalow
Flat
Maisonet
Number of
rooms
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Number of floors
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Do you require our packing service
No Packing
Full Packing
breakables Only
Kitchen Only
Easily accessible with a lorry
Yes
No
Please add or remove any anticipated difficulties
If there are any other special requirements please add them here
Do you require storage
Yes
No
Delivery address
Post code new
Property type new
House
Cottage
Bungalow
Flat
Maisonet
Delivery number of rooms
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Delivery Number of floors
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
accessible with a lorry
Yes
No
Please add or remove any anticipated difficulties new
H
all
Lounge
Dining Room
Kitchen
Utility
Bedroom 1
Bedroom 2
Bedroom 3
Bedroom 4
Bedroom 5
Bedroom 6
Bathroom
Loft
Garage
Other type
Carpets
Misc
Outside Garden plants
Estimated amount of boxes
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