Name:
Tel No:
Email:
Date of move:
Preferred method of contact:
Phone
Email
Move From (inc. postcode):
Property type:
Flat
House
Bungalow
Other (please specify at the end of form)
Floor:
Ground
Second
Third
Fourth
Higher
Bedrooms:
1
2
3
4
5
6
7
8
Lift?
Yes
No
Available parking?
Very good
Good
Poor
Very poor
Moving to (inc. postcode):
Property type:
Flat
House
Bungalow
Other (please specify at the end of form)
Floor:
Ground
Second
Third
Fourth
Higher
Bedrooms:
1
2
3
4
5
6
7
8
Lift?
Yes
No
Available parking?
Very good
Good
Poor
Very poor
Items to be moved:
Do you require our packing service?
No
Yes
Maybe, would like more info
Do you require storage?
No
Yes
Maybe, would like more info
If yes, how long for:
Any additional relevant information
