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Your Details
Name
(required)
Email address
(required)
Telephone Number
(required)
Mobile Number
Your Home
House Type (at pickup address)
Flat
Mid Terrace
End Terrace
Semi-Detached Bungalow
Detached Bungalow
Semi-Detached House
Detached House
Other
Pick-up Address
(required)
Other House Type?
House Type (delivery address)
Flat
Mid Terrace
End Terrace
Semi-Detached Bungalow
Detached Bungalow
Semi-Detached House
Detached House
Other
Delivery Address
(required)
Other House Type?
Number of Bedrooms
1
2
3
4
5
6
7
8
9
10+
Provisional Move Date
Rooms Checklist
Basement
Attic
Conservatory
Utility
Study
Garage
Double Garage
Shed
Greenhouse
Other Rooms?
Living Room
Leave blank any that are not applicable.
Three Seater Sofa
Please select
1
2
3
4
5
6
7
8
9
10+
Two Seater Sofa
Please select
1
2
3
4
5
6
7
8
9
10+
Arm Chair
Please select
1
2
3
4
5
6
7
8
9
10+
Coffee Table
Please select
1
2
3
4
5
6
7
8
9
10+
Television
Please select
1
2
3
4
5
6
7
8
9
10+
Estimated Number of Boxes
DVD's (Estimate)
Please select
10
20
30
40
50
60
70
80
90
100+
Digital Receiver
Please select
1
2
3
4
5
6
7
8
9
10+
Nest Tables
Please select
1
2
3
4
5
6
7
8
9
10+
Large Book Case
Please select
1
2
3
4
5
6
7
8
9
10+
Television Stand
Please select
1
2
3
4
5
6
7
8
9
10+
CD Rack
Please select
1
2
3
4
5
6
7
8
9
10+
Corner Cabinet
Please select
1
2
3
4
5
6
7
8
9
10+
Glass Cabinet
Please select
1
2
3
4
5
6
7
8
9
10+
Small Book Case
Please select
1
2
3
4
5
6
7
8
9
10+
Corner Unit
Please select
1
2
3
4
5
6
7
8
9
10+
Dining Room
Leave blank any that are not applicable.
Table
Please select
1
2
3
4
5
6
7
8
9
10+
Welsh Dresser
Please select
1
2
3
4
5
6
7
8
9
10+
Chairs
Please select
1
2
3
4
5
6
7
8
9
10+
Side Board
Please select
1
2
3
4
5
6
7
8
9
10+
Corner Unit
Please select
1
2
3
4
5
6
7
8
9
10+
Estimated Number of Boxes
Kitchen
Leave blank any that are not applicable.
Oven
Please select
1
2
3
4
5
6
7
8
9
10+
Freezer
Please select
1
2
3
4
5
6
7
8
9
10+
Fridge Freezer
Please select
1
2
3
4
5
6
7
8
9
10+
Fridge
Please select
1
2
3
4
5
6
7
8
9
10+
Table
Please select
1
2
3
4
5
6
7
8
9
10+
Welsh Dresser
Please select
1
2
3
4
5
6
7
8
9
10+
Television
Please select
1
2
3
4
5
6
7
8
9
10+
Chairs
Please select
1
2
3
4
5
6
7
8
9
10+
Microwave
Please select
1
2
3
4
5
6
7
8
9
10+
Tumble Dryer
Please select
1
2
3
4
5
6
7
8
9
10+
Washing Machine
Please select
1
2
3
4
5
6
7
8
9
10+
Estimated Number of Boxes
Bedrooms
Leave blank any that are not applicable.
King Sized Bed
Please select
1
2
3
4
5
6
7
8
9
10+
Double Bed
Please select
1
2
3
4
5
6
7
8
9
10+
Single Bed
Please select
1
2
3
4
5
6
7
8
9
10+
Bunk Bed
Please select
1
2
3
4
5
6
7
8
9
10+
Cot
Please select
1
2
3
4
5
6
7
8
9
10+
Dressing Table
Please select
1
2
3
4
5
6
7
8
9
10+
Single Wardrobe
Please select
1
2
3
4
5
6
7
8
9
10+
Double Wardrobe
Please select
1
2
3
4
5
6
7
8
9
10+
Treble Wardrobe
Please select
1
2
3
4
5
6
7
8
9
10+
Bedside Table
Please select
1
2
3
4
5
6
7
8
9
10+
Chest of Drawers
Please select
1
2
3
4
5
6
7
8
9
10+
Blanket Box
Please select
1
2
3
4
5
6
7
8
9
10+
Toy Box
Please select
1
2
3
4
5
6
7
8
9
10+
Estimated Number of Boxes
Other
Leave blank any that are not applicable.
Telephone Table
Please select
1
2
3
4
5
6
7
8
9
10+
Hostess Trolley
Please select
1
2
3
4
5
6
7
8
9
10+
Bureau
Please select
1
2
3
4
5
6
7
8
9
10+
Filing Cabinets
Please select
1
2
3
4
5
6
7
8
9
10+
Desks
Please select
1
2
3
4
5
6
7
8
9
10+
Computer
Please select
1
2
3
4
5
6
7
8
9
10+
Rocking Horse
Please select
1
2
3
4
5
6
7
8
9
10+
Rugs
Please select
1
2
3
4
5
6
7
8
9
10+
Carpets
Please select
1
2
3
4
5
6
7
8
9
10+
Lamps
Please select
1
2
3
4
5
6
7
8
9
10+
Pictures
Please select
1
2
3
4
5
6
7
8
9
10+
Pot Plants
Please select
1
2
3
4
5
6
7
8
9
10+
Dolls House
Please select
1
2
3
4
5
6
7
8
9
10+
Fish Tank
Please select
1
2
3
4
5
6
7
8
9
10+
Futon
Please select
1
2
3
4
5
6
7
8
9
10+
Chaise Longue
Please select
1
2
3
4
5
6
7
8
9
10+
Grandfather Clock
Please select
1
2
3
4
5
6
7
8
9
10+
Tall Boy
Please select
1
2
3
4
5
6
7
8
9
10+
Rabbit Hutch
Please select
1
2
3
4
5
6
7
8
9
10+
Ladders
Please select
1
2
3
4
5
6
7
8
9
10+
Estimated Number of Boxes
Garden
Leave blank any that are not applicable.
Wendy House
Please select
1
2
3
4
5
6
7
8
9
10+
Lawn Mower
Please select
1
2
3
4
5
6
7
8
9
10+
Deck Chairs
Please select
1
2
3
4
5
6
7
8
9
10+
Garden Chairs
Please select
1
2
3
4
5
6
7
8
9
10+
Garden Tools
Please select
1
2
3
4
5
6
7
8
9
10+
Chimney Pots
Please select
1
2
3
4
5
6
7
8
9
10+
Estimated Number of Boxes
Work Bench
Please select
1
2
3
4
5
6
7
8
9
10+
Strimmer
Please select
1
2
3
4
5
6
7
8
9
10+
Rowing Machine
Please select
1
2
3
4
5
6
7
8
9
10+
Barbecue
Please select
1
2
3
4
5
6
7
8
9
10+
Plants
Please select
1
2
3
4
5
6
7
8
9
10+
Bicycles
Please select
1
2
3
4
5
6
7
8
9
10+
Hose Pipe
Please select
1
2
3
4
5
6
7
8
9
10+
Weights Bench
Please select
1
2
3
4
5
6
7
8
9
10+
Garden Table
Please select
1
2
3
4
5
6
7
8
9
10+
Wheel Barrow
Please select
1
2
3
4
5
6
7
8
9
10+
Golf Clubs
Please select
1
2
3
4
5
6
7
8
9
10+
Bench
Please select
1
2
3
4
5
6
7
8
9
10+
Missed Items?
Please specify any significant items that have not been covered in the box below:
Send
This field should be left blank
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