General Details:
Name		Telephone No
Email		Prefered contact method	Please Choose Telephone Email
Anticipated moving date	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 January February March April May June July August September October November December	Packing Service Required?	Please Choose No Yes
Moving from property Details::		Moving to property Details:
First line of Address:		First line of Address:
Postcode:		Postcode:
Property Type	Please Choose House Bungalow Flat Number of storeys:  2 3 4 Floor:  Ground First Second Third Fourth Fifth or above Lift available:  No Yes	Property Type	Please Choose House Bungalow Flat Number of storeys:  2 3 4 Floor:  Ground First Second Third Fourth Fifth or above Lift available:  No Yes
Bedrooms	0 1 2 3 4 5 6	Bedrooms	0 1 2 3 4 5 6
Parking?	Please Choose Very Good Good Poor	Parking?	Please Choose Very Good Good Poor
Parking distance from door in metres?		Parking distance from door in metres?
Removal access through windows?	Please Choose No Yes	Removal access through windows?	Please Choose No Yes

Reception Rooms

Article	Units	Article	Units
Settee, Large	0 1 2 3 4 5 6	Settee, Medium	0 1 2 3 4 5 6
Settee, Small	0 1 2 3 4 5 6 0	Armchair, Large	0 1 2 3 4 5 6
Armchair, Medium	0 1 2 3 4 5 6	Armchair, Small	0 1 2 3 4 5 6
Occasional Chair	0 1 2 3 4 5 6	Wall Unit	0 1 2 3 4 5 6
China Cabinet, Large	0 1 2 3 4 5 6	China Cabinet, Medium	0 1 2 3 4 5 6
China Cabinet, Small	0 1 2 3 4 5 6	Welsh Dresser	0 1 2 3 4 5 6
Sideboard, Large	0 1 2 3 4 5 6	Sideboard, Medium	0 1 2 3 4 5 6
Sideboard, Small	0 12 3 4 5 6	Dining Table, Large	0 1 2 3 4 5 6
Dining Table, Medium	0 12 3 4 5 6	Dining Table, Small	0 1 2 3 4 5 6
Gate-leg table, Medium	0 1 2 3 4 5 6	Sofa Bed	0 1 2 3 4 5 6
Occasional Table, Small	0 1 2 3 4 5 6	Dining Chair	0 1 2 3 4 5 6
Carver	0 1 2 3 4 5 6	Roll-top Desk, Large	0 1 2 3 4 5 6
Roll-top Desk, Small	0 1 2 3 4 5 6	Bureau, Large	0 1 2 3 4 5 6
Bureau, Small	0 1 2 3 4 5 6	Sectional Bookcase Per Section	0 1 2 3 4 5 6
Bookcase, Large	0 1 2 3 4 5 6	Bookshelves	0 1 2 3 4 5 6
Grandfather Clock	0 1 2 3 4 5 6	Chandelier	0 1 2 3 4 5 6
Standard Lamp	0 1 2 3 4 5 6	Carpet, Fitted	0 1 2 3 4 5 6
Carpet	0 1 2 3 4 5 6	Piano, Upright	0 1 2 3 4 5 6
Piano, Grand	0 1 2 3 4 5 6	Piano, Stool	0 1 2 3 4 5 6
Stereo/ Video	0 1 2 3 4 5 6	T.V./ P.C.	0 1 2 3 4 5 6
Nest Of Tables	0 1 2 3 4 5 6	Music Cabinet	0 1 2 3 4 5 6
Stool	0 1 2 3 4 5 6	Mirror	0 1 2 3 4 5 6
Coffee Table	0 1 2 3 4 5 6	Picture	0 1 2 3 4 5 6 7 8 9

Bedrooms

Wardrobe Fitted	0 1 2 3 4 5 6	Wardrobe 6'6"	0 1 2 3 4 5 6
Wardrobe 4'6"	0 1 2 3 4 5 6	Wardrobe 3'4"	0 1 2 3 4 5 6
Wardrobe 2'6"	0 1 2 3 4 5 6	Wardrobe Compactum	0 1 2 3 4 5 6
Dressing Table	0 1 2 3 4 5 6	Chest of Drawers, Large	0 1 2 3 4 5 6
Chest of Drawers, Medium	0 1 2 3 4 5 6	Chest of Drawers, Small	0 1 2 3 4 5 6
Folding Bed	0 1 2 3 4 5 6	Bedroom Chair	0 1 2 3 4 5 6
Bedstead 4'6"	0 1 2 3 4 5 6	Bedstead 3'0"	0 1 2 3 4 5 6
Bunk Beds	0 1 2 3 4 5 6	Continental Headboard	0 1 2 3 4 5 6
Child's Cot	0 1 2 3 4 5 6	Bedside Table	0 1 2 3 4 5 6 7 8 9
Box Ottoman	0 1 2 3 4 5 6	Linen Basket	0 1 2 3 4 5 6
Table Lamp	0 1 2 3 4 5 6

Kitchen, Hall, Etc.

Cooker	0 1 2 3 4 5 6	Freezer, Upright	0 1 2 3 4 5 6
Freezer, Chest	0 1 2 3 4 5 6	Fridge	0 1 2 3 4 5 6
Fridge Freezer	0 1 2 3 4 5 6	Washing Machine	0 1 2 3 4 5 6
Dryer	0 1 2 3 4 5 6	Vacuum Cleaner	0 1 2 3 4 5 6
Dishwasher	0 1 2 3 4 5 6	Kitchen Table, Large	0 1 2 3 4 5 6
Kitchen Table, Small	0 1 2 3 4 5 6	Kitchen Chair	0 1 2 3 4 5 6
Large American style fridge freezer	0 1 2 3 4 5 6	Tea Trolley	0 1 2 3 4 5 6
Sewing Machine	0 1 2 3 4 5 6	Hall Table	0 1 2 3 4 5 6
Hall Stand	0 1 2 3 4 5 6	Hall Chair	0 1 2 3 4 5 6
Stair Carpet	0 1 2 3 4 5 6	Safe	0 1 2 3 4 5 6

Outside Effects

Garden Roller	0 1 2 3 4 5 6	Wheelbarrow	0 1 2 3 4 5 6
Lawn Mower, Manual	0 1 2 3 4 5 6	Motorised Mower	0 1 2 3 4 5 6
Sun Lounger	0 1 2 3 4 5 6	Hose and Reel	0 1 2 3 4 5 6
Garden Tools, per tool	0 1 2 3 4 5 6	Dustbin, normal	0 1 2 3 4 5 6
Stepladder	0 1 2 3 4 5 6	Garden Seat	0 1 2 3 4 5 6
Bicycle	0 1 2 3 4 5 6	Pram	0 1 2 3 4 5 6
Extending Ladder	0 1 2 3 4 5 6	Deck Chairs	0 1 2 3 4 5 6
Work Bench	0 1 2 3 4 5 6	Plant Pots	0 1 2 3 4 5 6 7 8 9
Planters	0 1 2 3 4 5 6 7 8 9	Golf Clubs	0 1 2 3 4 5 6

Boxes & Luggage

Standard Boxes	0 1 2 3 4 5 6 7 8 9 10 to 15 16 to 20 21 to 25 26 to 30 31 to 35 36 to 40 41 to 45 46 to 50 51 to 55 56 to 60 61 to 65 66 to 70 71 to 75 76 to 80 81 to 85 86 to 90 91 to 95 96 to 100	Boxes of Books	0 1 2 3 4 5 6 7 8 9 10 to 15 16 to 20 21 to 25 26 to 30 31 to 35 36 to 40 41 to 45 46 to 50 51 to 55 56 to 60 61 to 65 66 to 70 71 to 75 76 to 80 81 to 85 86 to 90 91 to 95 96 to 100
Wardrobe Clothing Boxes	0 1 2 3 4 5 6 7 8 9 10 to 15 16 to 20 21 to 25 26 to 30 31 to 35 36 to 40 41 to 45 46 to 50 51 to 55 56 to 60 61 to 65 66 to 70 71 to 75 76 to 80 81 to 85 86 to 90 91 to 95 96 to 100	Plastic Containers	0 1 2 3 4 5 6 7 8 9 10 to 15 16 to 20 21 to 25 26 to 30 31 to 35 36 to 40 41 to 45 46 to 50 51 to 55 56 to 60 61 to 65 66 to 70 71 to 75 76 to 80 81 to 85 86 to 90 91 to 95 96 to 100
Suitcase / Luggage	0 1 2 3 4 5 6 7 8 9 10 to 15 16 to 20 21 to 25 26 to 30 31 to 35 36 to 40 41 to 45 46 to 50 51 to 55 56 to 60 61 to 65 66 to 70 71 to 75 76 to 80 81 to 85 86 to 90 91 to 95 96 to 100	Trunk	0 1 2 3 4 5 6 7 8 9 10 to 15 16 to 20 21 to 25 26 to 30 31 to 35 36 to 40 41 to 45 46 to 50 51 to 55 56 to 60 61 to 65 66 to 70 71 to 75 76 to 80 81 to 85 86 to 90 91 to 95 96 to 100

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