Name
First Name
Last Name
Phone Number
Email
example@example.com
Estimated / Confirmed Moving Date
-
Day
-
Month
Year
Date
Which option best describes your move?
Please Select
Full Move
Partial Move
Large Items Only
Just Small Items and Boxes
Single Item
Other
Waiting for keys on moving day?
Please Select
No, I will already have keys
Yes, I will be waiting for keys
Move Type
Select Ownership
House Sale/Purchase (Chain)
Rented to Rented
Rented to Owner
Council Exchange
Other
Collection Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
(Collection) Type of Property
House
Flat
Shared House (HMO)
Storage Unit
Bungalow
Other
(Collection) Access Information
Street Parking
Driveway
Over 10m Walk
Flat with Lift
Flat with no Lift
Other
(Collection) No. of Bedrooms
1
2
3
4
5+
(Collection) No. Flights of Stairs
1
2
3
4
5+
Delivery Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
(Delivery) Type of Property
House
Flat
Shared House (HMO)
Storage Unit
Bungalow
Other
(Delivery) Access Information
Street Parking
Driveway
Over 10m Walk
Flat with Lift
Flat with no Lift
Other
(Delivery) No. of Bedrooms
1
2
3
4
5+
(Delivery) No. Flights of Stairs
1
2
3
4
5+
Anything else you would like us to know
Do you require Packing Services?
No
Packing Only
Packing and Unpacking
Unpack Only
Do you require Disassembly or Reassembly Services?
No
Disassembly Only
Disassembly & Reassembly
Reassembly Only
Do you require Disposal Services?
No
Large Clearance
Furniture Disposal
Small Clearance
Do you require Cleaning Services?
No
Deep Clean
General Clean
Declutter / Organisation
Brief description of Extra Services (Optional)
Please verify that you are human
*
Submit
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