Contact Details
Name:
Phone Number:
Fax Number:
Email Address:
Current Address:
Address you are planning on moving to:
Preferred Method of Contact:
If phone, please Enter Preferred Time:
Planned Removal Date
Pre Packed Date:
Removal Date:
Delivery Date:
Type of Residence:
If Living in an Apartment Block, which Floor do you Reside on?:
Is there a lift available:
Is there parking available:
Packing
Do you require our packing service:
Do you require our unpacking service:
Insurance
Would you like us to arrange your insurance cover?:
Lounge
2 Seater Setee:
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Small Wall Unit:
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3 Seater Setee:
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Video:
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Armchair:
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Bureau/Desk:
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Easy Chair:
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Light Fittings/Lamps:
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Upright Piano:
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Carpet:
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Grand Piano:
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Rugs:
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China Cabinet:
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Speakers:
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Bookcase:
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Pictures:
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Coffee Table:
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Plant Stand:
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Side Table:
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Magazine Rack:
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Television:
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Pouffe:
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HIFI Music Center:
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Log Basket:
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Standard Lamp:
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Plants:
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Large Wall Unit:
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Boxes:
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