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Title
Name
*
Phone
Email
*
COLLECTION PROPERTY:
Collection Address
Are you selling or renting?
Selling
Renting
Other
Please describe
Type of Property (Collection)
Please Select
House
Flat
Bungalow
Office
Storage
Other
Number of Bedrooms? (Collection)
1
2
3
4
5+
Collection Floor(s)
B
G
1
2
3+
What floor? (Collection)
Is there a Lift? (Collection)
YES
NO
Number of Employees Being Relocated?
1-5
6-10
11-20
21-50
50+
Volume to be moved / Size of unit?
Please describe (Collection)
Are there any parking restrictions? (Collection)
YES
NO
Parking Restrictions? (Collection)
Please Select
Single Yellow Line
Double Yellow Line
Residents Bays
Pay and Display Bays
Red Route
Other
What are the restrictions? (Collection)
Are there any access restrictions? (Collection)
YES
NO
What are the restrictions? (Collection)
How close can we park at collection?
Please Select
0-10m
10-20m
20-40m
40m+
How far?
DELIVERY PROPERTY:
Delivery Address
Are you selling or renting?
Selling
Renting
Other
Please describe
Type of Property (Delivery)
Please Select
House
Flat
Bungalow
Office
Storage
Other
Number of Bedrooms? (Delivery)
1
2
3
4
5+
Delivery Floor(s)
B
G
1
2
3+
What floor? (Delivery)
Is there a Lift? (Delivery)
YES
NO
Please describe (Delivery)
Are there any parking restrictions? (Delivery)
YES
NO
Parking Restrictions? (Delivery)
Please Select
Single Yellow Line
Double Yellow Line
Residents Bays
Pay and Display Bays
Red Route
Other
What are the restrictions? (Delivery)
Are there any access restrictions? (Delivery)
YES
NO
What are the restrictions? (Delivery)
How close can we park at delivery?
Please Select
0-10m
10-20m
20-40m
40m+
How far?
Do you have a definite removal date?
YES
NO
Removal Date
Estimated Date
How did you hear of us?
Please Select
Used Before
Friends/Family
Promotional Flyer
Seen Lorries
Google/Search Engine
Yell.com
Other
We would appreciate if you could let us know
SERVICES REQUIRED:
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
Property Content
Commercial
Residential
Desk
Select
1
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9
10+
Office Chair
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Pedestal
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Computer
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2 Draw Filing Cabinet
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9
10+
4 Draw Filing Cabinet
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1
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10+
Cupboards
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Conference Table
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Photocopier
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Water Cooler
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Fridge
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Other Items
Wardrobes
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10+
Beds
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10+
Dining Table
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10+
Sofas
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Chest of Drawers
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9
10+
Dressing Table
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Bedside Table
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Dining Chairs
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10+
Sideboard
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Welsh Dresser
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TV Stand
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Desks
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10+
Mirrors
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Paintings
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Floor Lamps
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Garden Table
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10+
Armchair
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1
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10+
Fridge
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1
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9
10+
White Goods
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1
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5
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9
10+
Coffee Table
Select
1
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9
10+
Garden Chairs
Select
1
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5
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9
10+
Garden Umbrella
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1
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Bench
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BBQ
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1
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10+
Bookcase
Select
1
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3
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9
10+
Piano
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1
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5
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9
10+
TV’s
Select
1
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3
4
5
6
7
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9
10+
Other Items
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