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Ger your free quote

Personal Details
Name + initials:*
 Mr Mrs/Ms
Telephone:*
Telephone: mobile/work:
Email address:*
Current address
Street + house no.*
Postal code*
Town or city*
Country*
Type of home
If it is an appartment, which floor?
Is there a lift?  Yes No
Parking permit required?  Yes No Unknown
Future address
Temporary storage of household effects  Yes No
Address
Postal code
Town or city*
Country*
Type of home
If it is an appartment, which floor?
Is there a lift?  Yes No
Parking permit required?  Yes No Unknown
Dismantle/assemble furniture?  Yes No Unknown
If so, which items
Do you want us to pack removal boxes?  Yes No
If so, only breakables (glass/china) or everything?  Breakables Everything
Do you want us to unpack the removal boxes?  Yes No
If so, only breakables (glass/china) or everything?  Breakables Everything
Payment for move  private employer
If employer, name employer
Removal date*
Living room
Two-seater sofa
Three-seater sofa
Side-tables
Bookcase
Sideboard
Armchair
Clock upright/hanging
Lamp
Plants
Coffee table
Painting/mirror
Secretaire
Stereo unit
Chair
Tv
Tv cabinet
Display cabinet
Carpet/rug
Wall unit per component
Number of boxes required (other)
Number of box required (breakables)
Hall
Hall cupboard
Wardrobe box
Hat-stand
Lamp
Plants
Painting/mirror
Number of boxes required (other)
Number of boxes required (breakables)
Dining room
Dining table
Cupboard
Small furniture
Lamp
Painting
Chair
Number of boxes required (other)
Number of boxes required (breakables)
Kitchen
Washing machine
Buffet
Kitchen table
Cooker
Refrigerator/freezer combined
Refrigerator/Deep-freeze
Microwave/oven
Chair
Number of boxes required (other)
Number of boxes required (breakables)
Bedroom
Single bed
Double bed
Double waterbed
Desk/dressing table
Wardrobe box
Desk of drawers
Lamp
Linen cupboard 2-door
Linen cupboard 3-door
Bedside table
Bed surrounds/ headboard
Chair
Tv/pc/stereo
Number of boxes required (other)
Number of boxes required (breakables)
Bedroom2
Single bed
Double bed
Double waterbed
Desk/dressing table
Wardrobe box
Desk of drawers
Lamp
Linen cupboard 2-door
Linen cupboard 3-door
Bedside table
Bed surrounds/ headboard
Chair
Tv/pc/stereo
Number of boxes required (other)
Number of boxes required (breakables)
Bedroom3
Single bed
Double bed
Double waterbed
Desk/dressing table
Wardrobe box
Desk of drawers
Lamp
Linen cupboard 2-door
Linen cupboard 3-door
Bedside table
Bed surrounds/ headboard
Chair
Tv/pc/stereo
Number of boxes required (other)
Number of boxes required (breakables)
Bedroom4
Single bed
Double bed
Double waterbed
Desk/dressing table
Wardrobe box
Desk of drawers
Lamp
Linen cupboard 2-door
Linen cupboard 3-door
Bedside table
Bed surrounds/ headboard
Chair
Tv/pc/stereo
Number of boxes required (other)
Number of boxes required (breakables)
Bathroom
Spin dryer
Washing machine
Cupboard
Tumble dryer
Washstand
Number of boxes required (other)
Number of boxes required (breakables)
Study
Bookcase
Desk
Cupboard
Desk of drawers
Lamp
Guest bed
Pc/Tv
Shelves
Chair
Table
Sunbed
Number of boxes required (other)
Number of boxes required (breakables)
Attic
Camping equipment
Cupboard
Christmas decoration
Lamp
Ski box
Chair
Table
Number of boxes required (other)
Number of boxes required (breakables)
Shed, garage, garden, hall
Bicycle
Tools
Wood
Cupboard
Wheelbarrow
Ladder
Lamp
Plants
Pots
Shelves
Surfboard/cano
Garden bench
Garden furniture
Workbench
Number of boxes required (other)
Number of boxes required (breakables)
Special items
Antiques/Other (please specificy below)
Pc
Plants
Plasma tv
Grand piano + piano stool (please indicate below on which floor)
Piano + piano stool (please indicate below on which floor)
Here, please describe your antiques in more detail
Remarks/other items

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