Removals self-survey quote form
Please fill out this form as accurately as you can. The more accurate the information you provide the more competitively we can quote you. Required fields are denoted with an asterix. Should you need any assistance filling out the form or have any queries please don’t hesitate to get in touch.
About you..
Your title
*
Please Select
Mr
Miss
Mrs
Ms
Dr
First name
*
Last name
*
Email
*
Phone
*
Invoicing address
*
Postcode
*
About the move..
Intended removal date
*
-
Day
-
Month
Year
Is this a timed move?
*
Please Select
Yes
No
Are you in possession of keys to the delivery address?
*
Please Select
Yes
No
At handover time
Do you require a full packing service?
*
Please Select
Yes
No
About the collection property..
Collection address
*
Postcode
*
Collection property type
*
Please Select
Bungalow
Terraced
Detached
Semi Detached
Flat
Care Home
Garage
Storage Unit
If terraced, detached or semi-detached how many floors are in your property?
*
Please Select
1
2
3
4
Is there a garage?
*
Please Select
Yes
No
If a flat, care home or storage unit what floor are you on?
*
Please Select
Basement
Ground
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
If a flat or care home is there a lift available?
*
Please Select
Yes
No
What parking/loading is available?
*
Driveway
Road
Road with restricted parking (please specify below)
Car park
Loading bay only (please specify below)
If there are parking restrictions what are they?
Please Select
Yellow line
Double yellow line
Double red line
Hours of operation for parking- please specify.
Is there a height clearance of at least 4m?
*
Yes
No
Is there a steep slope that might impede access?
*
Yes
No
About the delivery property..
Delivery address
*
Postcode
*
Delivery property type
*
Please Select
Bungalow
Terraced
Detached
Semi Detached
Flat
Care Home
Garage
Storage Unit
If terraced, detached or semi-detached how many floors are in your property?
*
Please Select
1
2
3
4
Is there a garage?
*
Please Select
Yes
No
If a flat, care home or storage unit what floor are you on?
*
Please Select
Basement
Ground
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
If a flat or care home is there a lift available?
*
Please Select
Yes
No
What parking/loading is available?
*
Driveway
Road
Road with restricted parking (please specify below)
Car park
Loading bay only (please specify below)
What are the parking restrictions (if applicable)?
Please Select
Yellow line
Double yellow line
Double red line
Hours of operation for parking- please specify.
Is there a height clearance of at least 4m?
*
Yes
No
Is there a steep slope that might impede access?
*
Yes
No
Your inventory..
Inventory
*
Number of boxes/bags
*
Additional Instructions for us (if applicable)
Will anything require dismantling or reassembling?
*
Dismantling only
Dismantling and reassembly
Assembly only
None Required
Terms
1: I acknowledge the information to be accurate and agree that any inaccurate or withheld information could render the loose quote void. 2: I acknowledge that all content inside the properties being moved can fit freely through all internal and external doorways. 3: I acknowledge that the contents being moved are my belongings and. if not, that I have the owner's written consent to move it. 4: I declare that none of the items are considered as dangerous goods, chemicals, weapons and I hold the valid licences for the items being transported. 5: I agree to sign the quote form upon arrival.
Terms acceptance
*
I have read and agree to the above declarations
Send Information
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