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Your detaills
First Name
*
Surname
*
Phone Number
*
E-mail
*
Tell us a bit about your move
When you are moving?
*
What size of van do you need for?
*
Small Van
Medium Van
Do you need help with loading and unloading?
*
No help requiered
Driver helping
How many hours do you need for?
*
Collection address
*
Number
Street
City
Postcode
Which floor?
*
Ground Floor
1 Floor
2 Floor
3 Floor
4 Floor
Is there lift available?
*
Yes
No
Is there parking space?
*
Yes
No
Via address
Number
Street
City
Postcode
Which floor?
Ground Floor
1 Floor
2 Floor
3 Floor
4 Floor
Is there lift available?
Yes
No
Is there parking space?
Yes
No
Items to be collected and/or delivered at Via Address
Delivery address
*
Number
Street
City
Postcode
Which floor?
*
Ground Floor
1 Floor
2 Floor
3 Floor
4 Floor
Is there lift available?
*
Yes
No
Is there parking space?
*
Yes
No
Please provide further details of your move if necessary, such as• Access issues• Parking restrictions• Any special instructions• Etc
*
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