Name:

Telephone:

Email:

Address from:

Property Type:

If moving from a flat, please state which floor:

Address to:

Property Type:

If moving to a flat, please state which floor:

Lounge:

DiningRoom:

Kitchen:

Bedroom1:

Bedroom2:

Bedroom3:

Bedroom4:

Bedroom5:

Misc.:

Garage:

Shed:

Loft:

Garden:

Approximate number of cartons:

Approximate number of bags, etc:

Will you require packing of glass, china and all similar breakable items only?:

Will you require a full packing service; books, kitchen utensils and all sundry items?:

Will you require our staff to lift any carpets?:

Is the access to your property in any way hindered by low trees, narrow drives or gateways for our long vehicles?:

(These may incur extra charges)

If yes, please provide details below:

Other Notes:

Where did you hear about us from?:

IW County Press
Yellow Pages
Recommendation
Estate Agent
Seen Our Vehicles
Other