Please complete this form to recieve a quotation for your customer. "*" indicates required fields TitleaMrMrsMissMsDrNamea*Phoneb*Emailc*COLLECTION PROPERTY:Collection Addressa*This field is hidden when viewing the formAre you selling or renting? Selling Renting Other Please describeThis field is hidden when viewing the formType of Property (Collection)Please SelectHouseFlatBungalowOfficeStorageOtherNumber of Bedrooms? (Collection) 1 2 3 4 5+ Collection Floor(s) B G 1 2 3+ What floor? (Collection)Is there a Lift? (Collection) YES NO Please describe (Collection)Number of Employees Being Relocated? 1-5 6-10 11-20 21-50 50+ Volume to be moved / Size of unit?Are there any parking restrictions? (Collection) YES NO Parking Restrictions? (Collection)Please SelectSingle Yellow LineDouble Yellow LineResidents BaysPay and Display BaysRed RouteOtherWhat are the restrictions? (Collection)Are there any access restrictions? (Collection) YES NO What are the restrictions? (Collection)This field is hidden when viewing the formHow close can we park at collection?Please Select0-10m10-20m20-40m40m+What is the distance between where we can park and your front door?DELIVERY PROPERTY:Delivery Addressb*This field is hidden when viewing the formAre you buying or renting? Buying Renting Other Please describeThis field is hidden when viewing the formType of Property (Delivery)Please SelectHouseFlatBungalowOfficeStorageOtherNumber of Bedrooms? (Delivery) 1 2 3 4 5+ Delivery Floor(s) B G 1 2 3+ What floor? (Delivery)Is there a Lift? (Delivery) YES NO Please describe (Delivery)Are there any parking restrictions? (Delivery) YES NO Parking Restrictions? (Delivery)Please SelectSingle Yellow LineDouble Yellow LineResidents BaysPay and Display BaysRed RouteOtherWhat are the restrictions? (Delivery)Are there any access restrictions? (Delivery) YES NO What are the restrictions? (Delivery)This field is hidden when viewing the formHow close can we park at delivery?Please Select0-10m10-20m20-40m40m+What is the distance between where we can park and your front door?Do you have a definite removal date? YES NO Removal Date DD slash MM slash YYYY Estimated DateHow did you hear of us?Please SelectUsed BeforeFriends / FamilyPromotional FlyerSeen LorriesGoogle / Search EngineYell.comOtherWe would appreciate if you could let us knowSERVICES REQUIRED:Would you like a quote for packing? YES NO Would you like a quote for dismantling? YES NO Would you like a quote for storage? YES NO PROPERTY CONTENTS:LOUNGE4 Seater SofaSelect12345678910+3 Seater SofaSelect12345678910+2 Seater SofaSelect12345678910+ArmchairSelect12345678910+Grand PianoSelect12345678910+Upright PianoSelect12345678910+Standard LampSelect12345678910+Coffee TableSelect12345678910+TVSelect12345678910+Small BookcaseSelect12345678910+Large BookcaseSelect12345678910+Other ItemsDINING ROOMDining TableSelect12345678910+Dining ChairsSelect12345678910+SideboardSelect12345678910+Welsh DresserSelect12345678910+Drinks CabinetSelect12345678910+Small BookcaseSelect12345678910+Large BookcaseSelect12345678910+Other ItemsKITCHENAmerican Fridge FreezerSelect12345678910+Fridge FreezerSelect12345678910+Small Fridge / FreezerSelect12345678910+Washing Machine / Tumble Dryer / DishwasherSelect12345678910+CookerSelect12345678910+Kitchen TableSelect12345678910+Kitchen ChairsSelect12345678910+Other ItemsBEDROOMSKingsize BedSelect12345678910+Double BedSelect12345678910+Single BedSelect12345678910+Bunk BedSelect12345678910+Triple WardrobeSelect12345678910+Double WardrobeSelect12345678910+Single WardrobeSelect12345678910+Large Chest of DrawersSelect12345678910+Small Chest of DrawersSelect12345678910+Bedside TableSelect12345678910+Dressing TableSelect12345678910+Other ItemsSTUDYLarge DeskSelect12345678910+Small DeskSelect12345678910+Office ChairSelect12345678910+Filing CabinetSelect12345678910+Small BookcaseSelect12345678910+Large BookcaseSelect12345678910+ComputerSelect12345678910+Other ItemsGARDEN / GARAGE / SHEDGarden TableSelect12345678910+Garden ChairSelect12345678910+BenchSelect12345678910+Plants in PotsSelect12345678910+Lawn MowerSelect12345678910+Garden ToolsSelect12345678910+LadderSelect12345678910+TrampolineSelect12345678910+BBQSelect12345678910+ShelvingSelect12345678910+Childrens ToysSelect12345678910+Other ItemsAny Further Information?OFFICEDeskSelect12345678910+Office ChairSelect12345678910+PedestalSelect12345678910+ComputerSelect12345678910+2 Draw Filing CabinetSelect12345678910+4 Draw Filing CabinetSelect12345678910+CupboardsSelect12345678910+Conference TableSelect12345678910+PhotocopierSelect12345678910+Water CoolerSelect12345678910+FridgeSelect12345678910+Other ItemsAny Further Information?This field is hidden when viewing the formVolume:
