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1. Your Details:
Title
Mr
Mrs
Miss
Ms
First Name:
Last Name:
Telephone No:
Mobile No:
Email:
Moving date
(if known):
2. I am moving From:
Address:
Type of property:
1 bed studio/flat
2 bed house/flat
3 bed house/flat
4 bed house
Over 4 bed house
Bungalow
Other
Location of entrance/exit:
Ground Floor
1st floor
2nd floor
3rd floor
4th floor
5th floor
6th floor
7th floor
8th floor
9th floor
10th floor +
Basement
Is there a lift available:
No
Yes
Parking restrictions:
Enter security code:
2. I am moving To:
Address:
Type of property:
1 bed studio/flat
2 bed house/flat
3 bed house/flat
4 bed house
Over 4 bed house
Bungalow
Other
Location of entrance/exit:
Ground Floor
1st floor
2nd floor
3rd floor
4th floor
5th floor
6th floor
7th floor
8th floor
9th floor
10th floor +
Basement
Is there a lift available:
No
Yes
Parking restrictions:
3. Property to be removed:
0
1
2
3
4
5
6+
Sofas:
0
1
2
3
4
5+
Wall units:
0
1
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4
5
6+
Arm chairs:
0
1
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3
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5
6+
Dining tables:
0
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4
5+
Side tables:
0
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4
5+
Coffee tables:
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5
6+
Televisions:
0
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4
5+
Book cases:
0
1
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3
4
5
6+
Desks:
0
1
2
3
4
5
6+
Washing
machines:
0
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3
4
5+
Fridges/
freezers:
0
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3
4
5+
Cookers:
0
1
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3
4
5
6+
Dish washers:
0
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3
4
5+
Microwaves:
0
1
2
3
4
5
6+
Single
wardrobes:
0
1
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3
4
5
6+
Chest of
drawers:
0
1
2
3
4
5+
Double
wardrobes:
0
1
2
3
4
5+
Single beds:
0
1
2
3
4
5
6+
Double beds:
0
1
2
3
4
5+
Dressing tables:
0
1
2
3
4
5
6+
Upright pianos:
0
1
2
3
4
5
6+
Grand pianos:
0
1
2
3
4
5+
Garden tables:
0
1
2
3
4
5+
Garden chairs:
0
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3
4
5
6+
Garden pots:
0
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4
5+
Boxes:
0
1
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3
4
5+
Others:
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