| Name: * | |
| E-mail Address: * | |
| Phone Number: * | |
| COLLECTION ADDRESS. Where do you live? please include postcode * | |
| COLLECTION. Is access good for collection using a truck? * | |
| COLLECTION. Is the collection address a bungalow on one level or apartment on top floor?, please explain. * | |
| DELIVERY ADDRESS. Where are you moving to?, please include postcode * | |
| DELIVERY. Is access good for delivery using a truck? * | |
| DELIVERY. Is the delivery address a bungalow on one level or apartment on top floor?, please explain. * | |
| PACKING: do you require help with packing? * | no, this will all be done
yes, breakables only
yes, furniture only
yes, full packing |
| Please select the quantity of items you have in your house from the list provided below. | |
| 3 Str Sofa | |
| Corner Group Sofa (specify number of seats) | |
| 2 Str Sofa | |
| Armchair | |
| Side Table | |
| Coffee Table | |
| Display Cabinet | |
| Television | |
| Television Stand | |
| Music System | |
| Speakers | |
| Piano or Organ | |
| DVD - Video | |
| Digibox - Playstation | |
| Lamp - Light Fitting | |
| Pairs of Curtains | |
| Cushions | |
| Pictures - Mirrors | |
| Large Vase - Ornament | |
| Clocks | |
| Computer and Screen | |
| Computer Desk | |
| Office Chairs | |
| Office Cabinet | |
| Double Beds | |
| Single Beds | |
| Bedside Cabinet | |
| Bedroom Wardrobe | |
| Chest of Drawers | |
| Dining Table | |
| Dining Chairs | |
| Washing Machine | |
| Tumble Dryer | |
| Dishwasher | |
| Fridge | |
| Freezer | |
| Fridge - Freezer | |
| Fridge - Freezer (American) double | |
| Microwave | |
| Oven | |
| Satellite Dish | |
| Garage items, please write a list. | |
| Garden Items, please write a list. | |
| Do you need packing cartons ? size 35cm x 35cm x 50cm | |
| Do you need packing cartons ? size 50cm x 50cm x 50cm | |
| Please include any other instructions and list any other items of furniture in this space provided. | |
| STORAGE: do you need somewhere to store your furniture? * | yes
no |
| Your Questions Answered, please use this area to ask any questions. | |
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| * Required | |
