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Please complete parts 1 and 2

PART 1 OF 2

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

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