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PERSONAL / REMOVAL DETAILS

Name*:		Home Tel*:
Email*:		Work/Mobile:
Removal Date:	- -	Value of Insurance Cover required:

PROPERTY DETAILS

Removals From		Removals To
House No/Name:		House No/Name:
Street:		Street:
Town:		Town:
Country:		Country:
Postcode:	-	Postcode:	-
Is full packing service required?	Yes No	If not known, estimated miles:
House Type:		House Type:
Bedrooms:		Bedrooms:
Receptions:		Receptions:
Collection/Delivery Floor:		Collection/Delivery Floor:
Is there a lift:	Yes No	Is there a lift:	Yes No
Parking:		Parking:
Parking distance from door?:		Parking distance from door?:
Removal Access through windows:	Yes No	Removal Access through windows:	Yes No