Please complete as much information as possible to allow our members to quote as accurately as possible. Name* MrMrsMissMsDrProf.Rev. Prefix First Last Phone*Email* Collection Address*Delivery Address*Type of Property (Collection)Please SelectHouseFlatBungalowOfficeStorageOtherType of Property (Delivery)Please SelectHouseFlatBungalowOfficeStorageOtherVolume to be moved / Size of unit? Please describe (Collection) Number of Employees Being Relocated? 1-5 6-10 11-20 21-50 50+ Number of Bedrooms? (Collection) 1 2 3 4 5+ Number of Bedrooms? (Delivery) 1 2 3 4 5+ Collection Floor(s) B G 1 2 3+ Delivery Floor(s) B G 1 2 3+ What floor? (Collection) What floor? (Delivery) Is there a Lift? (Collection) YES NO Is there a Lift? (Delivery) YES NO How close can we park at collection?Please Select0-10m10-20m20-40m40m+Are there any parking restrictions? (Collection) YES NO Parking Restrictions? (Collection)Please SelectSingle Yellow LineDouble Yellow LineResidents BaysPay and Display BaysRed RouteOtherWhat are the restrictions? (Collection) How close can we park at delivery?Please Select0-10m10-20m20-40m40m+Are there any parking restrictions? (Delivery) YES NO Parking Restrictions? (Delivery)Please SelectSingle Yellow LineDouble Yellow LineResidents BaysPay and Display BaysRed RouteOtherWhat are the restrictions? (Delivery) Do you have a definite removal date? YES NO Removal Date DD slash MM slash YYYY Estimated Date How did you hear of us?Please SelectUsed BeforeFriends / FamilyPromotional FlyerSeen LorriesGoogle / Search EngineOtherWe would appreciate if you could let us know Would you like a quote for packing? YES NO Would you like a quote for dismantling? YES NO Would you like a quote for storage? YES NO LOUNGE4 Seater SofaSelect12345678910+3 Seater SofaSelect12345678910+2 Seater SofaSelect12345678910+ArmchairSelect12345678910+Grand PianoSelect12345678910+Upright PianoSelect12345678910+Standard LampSelect12345678910+Coffee TableSelect12345678910+TVSelect12345678910+Nest of TablesSelect12345678910+BookcaseSelect12345678910+Other ItemsDINING ROOMDining TableSelect12345678910+Dining ChairsSelect12345678910+SideboardSelect12345678910+Welsh DresserSelect12345678910+Hostess TrollySelect12345678910+Drinks CabinetSelect12345678910+BookcaseSelect12345678910+Other ItemsKITCHENAmerican Fridge FreezerSelect12345678910+Fridge FreezerSelect12345678910+Small Fridge / FreezerSelect12345678910+Washing Machine / Tumble Dryer / DishwasherSelect12345678910+CookerSelect12345678910+Kitchen TableSelect12345678910+Kitchen ChairsSelect12345678910+Other ItemsBEDROOMSKingsize BedSelect12345678910+Double BedSelectPlease Select12345678910+Single BedSelect12345678910+Bunk BedSelect12345678910+Triple WardrobeSelect12345678910+Double WardrobeSelect12345678910+Single WardrobeSelect12345678910+Large Chest of DrawersSelect12345678910+Small Chest of DrawersSelect12345678910+Bedside TableSelect12345678910+Dressing TableSelect12345678910+Other ItemsSTUDYLarge DeskSelect12345678910+Small DeskSelect12345678910+Office ChairSelect12345678910+Filing CabinetSelect12345678910+BookcaseSelect12345678910+Desktop ComputerSelect12345678910+Printer / CopierSelect12345678910+Other ItemsGARDEN / GARAGE / SHEDGarden TableSelect12345678910+Garden ChairSelect12345678910+BenchSelect12345678910+Plants in PotsSelect12345678910+Lawn MowerSelect12345678910+Garden ToolsSelect12345678910+LadderSelect12345678910+TrampolineSelect12345678910+BBQSelect12345678910+ShelvingSelect12345678910+Childrens ToysSelect12345678910+Other ItemsAny Further Information?OFFICEDeskSelect12345678910+Office ChairSelect12345678910+PedestalSelect12345678910+ComputerSelect12345678910+2 Draw Filing CabinetSelect12345678910+4 Draw Filing CabinetSelect12345678910+CupboardsSelect12345678910+Conference TableSelect12345678910+PhotocopierSelect12345678910+Water CoolerSelect12345678910+FridgeSelect12345678910+Other ItemsAny Further Information?