Collection address   (items marked with * require an entry)
Title
First name
Surname *
Address *
 
 
 
Postcode *
Country
Telephone *
Mobile
Email *
 
Delivery address   (approx area if full address not known)
Address *
 
 
 
Postcode
Country
 
Move details
Move date
What type of Property do you live in? (House, Bungalow, Flat - which floor)
How many Outbuildings do you have?
Where can the removal vehicle be parked?
How long is the walking distance to the property from parking?
Do you live in a restricted area/yellow lines?
Items
Other items (in cm)
Description
 
Width
Height
Depth
 
Description
 
Width
Height
Depth
 
Description
 
Width
Height
Depth
 
Description
 
Width
Height
Depth
 
Description
 
Width
Height
Depth
Additional notes