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Your Details
Name
(required)
Telephone Number
(required)
Email address
(required)
Mobile Number
Your Home
House Type
Flat
Mid Terrace
End Terrace
Semi-Detached Bungalow
Detached Bungalow
Semi-Detached House
Detached House
Other
Number of Bedrooms
1
2
3
4
5
6
7
8
9
10+
Provisional Move Date
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
Year
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Other House Type?
Pick-up Address
(required)
Delivery Address
(required)
Rooms Checklist
Basement
Attic
Conservatory
Utility
Study
Garage
Double Garage
Shed
Greenhouse
Other Rooms?
Living Room
Three Seater Sofa
---
1
2
3
4
5
6
7
8
9
10+
DVD's (Estimate)
---
10
20
30
40
50
60
70
80
90
100+
CD Rack
---
1
2
3
4
5
6
7
8
9
10+
Two Seater Sofa
---
1
2
3
4
5
6
7
8
9
10+
Digital Receiver
---
1
2
3
4
5
6
7
8
9
10+
Corner Cabinet
---
1
2
3
4
5
6
7
8
9
10+
Arm Chair
---
1
2
3
4
5
6
7
8
9
10+
Nest Tables
---
1
2
3
4
5
6
7
8
9
10+
Glass Cabinet
---
1
2
3
4
5
6
7
8
9
10+
Coffee Table
---
1
2
3
4
5
6
7
8
9
10+
Large Book Case
---
1
2
3
4
5
6
7
8
9
10+
Small Book Case
---
1
2
3
4
5
6
7
8
9
10+
Television
---
1
2
3
4
5
6
7
8
9
10+
Television Stand
---
1
2
3
4
5
6
7
8
9
10+
Corner Unit
---
1
2
3
4
5
6
7
8
9
10+
Estimated Number of Boxes
Dining Room
Table
---
1
2
3
4
5
6
7
8
9
10+
Chairs
---
1
2
3
4
5
6
7
8
9
10+
Corner Unit
---
1
2
3
4
5
6
7
8
9
10+
Welsh Dresser
---
1
2
3
4
5
6
7
8
9
10+
Side Board
---
1
2
3
4
5
6
7
8
9
10+
Estimated Number of Boxes
Kitchen
Oven
---
1
2
3
4
5
6
7
8
9
10+
Table
---
1
2
3
4
5
6
7
8
9
10+
Microwave
---
1
2
3
4
5
6
7
8
9
10+
Freezer
---
1
2
3
4
5
6
7
8
9
10+
Welsh Dresser
---
1
2
3
4
5
6
7
8
9
10+
Tumble Dryer
---
1
2
3
4
5
6
7
8
9
10+
Fridge Freezer
---
1
2
3
4
5
6
7
8
9
10+
Television
---
1
2
3
4
5
6
7
8
9
10+
Washing Machine
---
1
2
3
4
5
6
7
8
9
10+
Fridge
---
1
2
3
4
5
6
7
8
9
10+
Chairs
---
1
2
3
4
5
6
7
8
9
10+
Estimated Number of Boxes
Bedrooms
King Sized Bed
---
1
2
3
4
5
6
7
8
9
10+
Dressing Table
---
1
2
3
4
5
6
7
8
9
10+
Chest of Drawers
---
1
2
3
4
5
6
7
8
9
10+
Double Bed
---
1
2
3
4
5
6
7
8
9
10+
Single Wardrobe
---
1
2
3
4
5
6
7
8
9
10+
Blanket Box
---
1
2
3
4
5
6
7
8
9
10+
Single Bed
---
1
2
3
4
5
6
7
8
9
10+
Double Wardrobe
---
1
2
3
4
5
6
7
8
9
10+
Toy Box
---
1
2
3
4
5
6
7
8
9
10+
Bunk Bed
---
1
2
3
4
5
6
7
8
9
10+
Treble Wardrobe
---
1
2
3
4
5
6
7
8
9
10+
Estimated Number of Boxes
Cot
---
1
2
3
4
5
6
7
8
9
10+
Bedside Table
---
1
2
3
4
5
6
7
8
9
10+
Other
Telephone Table
---
1
2
3
4
5
6
7
8
9
10+
Rugs
---
1
2
3
4
5
6
7
8
9
10+
Futon
---
1
2
3
4
5
6
7
8
9
10+
Hostess Trolley
---
1
2
3
4
5
6
7
8
9
10+
Carpets
---
1
2
3
4
5
6
7
8
9
10+
Chaise Longue
---
1
2
3
4
5
6
7
8
9
10+
Bureau
---
1
2
3
4
5
6
7
8
9
10+
Lamps
---
1
2
3
4
5
6
7
8
9
10+
Grandfather Clock
---
1
2
3
4
5
6
7
8
9
10+
Filing Cabinets
---
1
2
3
4
5
6
7
8
9
10+
Pictures
---
1
2
3
4
5
6
7
8
9
10+
Tall Boy
---
1
2
3
4
5
6
7
8
9
10+
Desks
---
1
2
3
4
5
6
7
8
9
10+
Pot Plants
---
1
2
3
4
5
6
7
8
9
10+
Rabbit Hutch
---
1
2
3
4
5
6
7
8
9
10+
Computer
---
1
2
3
4
5
6
7
8
9
10+
Dolls House
---
1
2
3
4
5
6
7
8
9
10+
Ladders
---
1
2
3
4
5
6
7
8
9
10+
Rocking Horse
---
1
2
3
4
5
6
7
8
9
10+
Fish Tank
---
1
2
3
4
5
6
7
8
9
10+
Estimated Number of Boxes
Garden
Wendy House
---
1
2
3
4
5
6
7
8
9
10+
Work Bench
---
1
2
3
4
5
6
7
8
9
10+
Hose Pipe
---
1
2
3
4
5
6
7
8
9
10+
Lawn Mower
---
1
2
3
4
5
6
7
8
9
10+
Strimmer
---
1
2
3
4
5
6
7
8
9
10+
Weights Bench
---
1
2
3
4
5
6
7
8
9
10+
Deck Chairs
---
1
2
3
4
5
6
7
8
9
10+
Rowing Machine
---
1
2
3
4
5
6
7
8
9
10+
Garden Table
---
1
2
3
4
5
6
7
8
9
10+
Garden Chairs
---
1
2
3
4
5
6
7
8
9
10+
Barbecue
---
1
2
3
4
5
6
7
8
9
10+
Wheel Barrow
---
1
2
3
4
5
6
7
8
9
10+
Garden Tools
---
1
2
3
4
5
6
7
8
9
10+
Plants
---
1
2
3
4
5
6
7
8
9
10+
Golf Clubs
---
1
2
3
4
5
6
7
8
9
10+
Chimney Pots
---
1
2
3
4
5
6
7
8
9
10+
Bicycles
---
1
2
3
4
5
6
7
8
9
10+
Bench
---
1
2
3
4
5
6
7
8
9
10+
Estimated Number of Boxes
Missed Items?
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