REQUEST FOR HOUSEHOLD REMOVAL QUOTATION
PLEASE GIVE AS MUCH INFORMATION AS POSSIBLE. Our quotation will be based on the information given, therefore please be as accurate as possible
Name
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Correspondence Address
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Email
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Please double check this is correct
Telephone
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We may need to contact you with any queries regarding the details you have supplied on this form, so a telephone number is important
Format: (00000) 000000.
Telephone - Alternative
Format: (00000) 000000.
Removal From
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Dwelling Type At From Address
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2-Storey House
3-Storey House
4-Storey House
Bungalow
Flat
Other
Access To A Lift At From Address?
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Yes
No
Flat On Which Floor At From Address?
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Access Problems At From Address
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If none type ‘none’
Distance to Nearest Parking Space At From Address
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Removal Direct To Our Warehouse (Where you don't know where final destination will be)
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No
Yes
Removal To
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Dwelling Type At To Address
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2-Storey House
3-Storey House
4-Storey House
Bungalow
Flat
Other
Access To A Lift At To Address?
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Yes
No
Flat On Which Floor At To Address?
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Access Problems At To Address
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If none type ‘none’
Distance to Nearest Parking Space At To Address
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Anticipated Removal Date(s)
Do you wish your effects to be stored before delivery to 'Removal To' address given above?
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Yes
No
How long do you estimate you will require your effects stored (if known)?
How Would You Like The Quote Sent To You?
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Email
Post
Effects in Lounge/Dining Room etc
Rows
Number of Items and other relevant information
Settee, Large
Settee, Medium
Settee, Small
Arm Chair, Large
Arm Chair, Medium
Arm Chair, Small
Tub Arm Chair, Small
Wicker Lounge Chair
China Cabinet, Large - Will you dismantle/reassemble yourself, or do you need us to dismantle/reassemble?
China Cabinet, Medium - Will you dismantle/reassemble yourself, or do you need us to dismantle/reassemble?
China Cabinet, Small
Sideboard, Large
Sideboard, Medium
Sideboard, Small
Dining Table, Large
Dining Table, Medium
Dining Table, Small
Dining Chairs
Gate Leg Table
Refectory Table
Computer System
Computer Desk
Bureau, Large
Bureau, Small
Wall Units - Will you dismantle/reassemble yourself, or do you need us to dismantle/reassemble?
Bookcase, Large - Will you dismantle/reassemble yourself, or do you need us to dismantle/reassemble?
Bookcase, Small
Grandfather Clock
Standard Lamp
Piano, Grand - Which type (i.e. Baby/Concert etc)? Which floor is it currently on? Which floor is it to be delivered?
Piano, Upright - Which floor is it currently on? Which floor is it to be delivered?
Piano Player - Which floor is it currently on? Which floor is it to be delivered?
Piano Keyboard on Stand
Piano Stool
Television
Carpet
Rugs
Welsh Dresser
Corner Cupboards - Will you dismantle/reassemble yourself, or do you need us to dismantle/reassemble?
Pictures
Mirrors
Other Effects in Lounge/Dining Room etc Not Included Above
Effects in Bedrooms etc
Rows
Number of Items and other relevant information
Wardrobe, 6ft 6ins width - Will you dismantle/reassemble yourself, or do you need us to dismantle/reassemble?
Wardrobe, 4ft 6ins width - Will you dismantle/reassemble yourself, or do you need us to dismantle/reassemble?
Wardrobe, 3ft width - Will you dismantle/reassemble yourself, or do you need us to dismantle/reassemble?
Wardrobe, 2ft 6ins width - Will you dismantle/reassemble yourself, or do you need us to dismantle/reassemble?
Bedroom Chair
Dressing Table
Chest of Drawers, Large
Chest of Drawers, Medium
Chest of Drawers, Small
Bed, King Size - Will you dismantle/reassemble yourself, or do you need us to dismantle/reassemble?
Bed, Double - Will you dismantle/reassemble yourself, or do you need us to dismantle/reassemble?
Bed, Single - Will you dismantle/reassemble yourself, or do you need us to dismantle/reassemble?
Bunk Beds - Will you dismantle/reassemble yourself, or do you need us to dismantle/reassemble?
Child's Cot - Will you dismantle/reassemble yourself, or do you need us to dismantle/reassemble?
Soiled Linen Basket
Cupboard - Will you dismantle/reassemble yourself, or do you need us to dismantle/reassemble?
Pictures
Mirrors
Carpet
Rugs
Bedside Table
Television
Other Effects in Bedrooms etc Not Included Above
Effects in Kitchen/Hallway etc
Rows
Number of Items and other relevant information
Refrigerator, Large
Refrigerator, Medium
Refrigerator, Small
Baby's High Chair
Washing Machine
Tumble Dryer
Vacuum Cleaner
Microwave Oven
Dish Washer
Kitchen Table, Large
Kitchen Table, Medium
Kitchen Table, Small
Kitchen Chairs
Deep Freezer, Upright
Deep Freezer, Chest
Fridge/Freezer
American Fridge/Freezer
Cooker, Range Style
Cooker, Standard
Pram
Push Chair
Other Effects in Kitchen/Hallway etc Not Included Above
Effects in Garden/Outside/Other Effects etc
Rows
Number of Items and other relevant information
Lawn Mower, Normal
Motor Mower, Normal
Hose and Reel
Garden Tools
Dustbin, Normal
Plant Pots
Garden Table, Normal
Garden Seat, Normal
Sun Lounger
Wheelbarrow
Bicycle
Steps
Ornaments
Ladder
Hot Tub
Other Effects in Garden/Outside/Other Effects etc Not Included Above
Are CARPETS To Be Removed?
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Yes
No
From Which Rooms Are CARPETS To Be removed?
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Are CURTAINS To Be Removed?
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Yes
No
From Which Rooms Are CURTAINS To Be Removed?
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Please indicate the quantity of packing/unpacking (i.e. Number of cartons required) for the following:
Rows
Number of Cartons
China and glass (1 carton holds approximately 1 single kitchen cupboard)
Books (1 carton holds approximately 3ft of shelf space)
Miscellaneous (1 carton holds approximately 1 single medium cupboard)
Food stores/drink (1 carton holds approximately 1 single kitchen cupboard)
Linen (1 carton holds approximately 1 airing cupboard shelf)
Clothing (1 wardrobe carton holds approximately 2ft of hanging space)
IF YOU HAVE PACKED YOUR OWN BOXES PLEASE STATE NUMBER PACKED
Please advise your Packing Requirements (if you wish to compare quotation with/without packing please select multiple boxes)
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Full Packing
Fragiles Packing ONLY
No Packing
Other
Please advise your Unpacking Requirements (if you wish to compare quotation with/without unpacking please select multiple boxes)
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Full Unpacking
Fragiles Unpacking ONLY
No Unpacking
Other
Finally, please advise of any items which require specialist care, any other additional requirements and any other comments you wish to make
Please verify that you are human
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