Domestic Removal Estimate

Please take time to fill out the following information as accurately as possible

First Name
Surname
Contact Telephone No.
Mobile Telephone
E-mail Address
    
Current Address
New Delivery Address
Town
Town
Postcode
Postcode

Type of property


If flat - which floor No. of bed rooms

Is there good access to the property
If no, please state why
Is there ample parking at the property
 If no, please state why
Is there any parking restrictions
 If yes, please state what
What Service Would You Require
If Self Pack Would You Like Us To Supply Boxes
Is storage is required
 Approx how long for no of weeks
How for are you moving (miles)
Planned move date (estimate if unsure)

Reception Room Information

Please tick the items to be removed

ITEM
 Quantity
ITEM
Quantity
Portable T.V. / P.C.
Wall Units
Television Set
Side Board
Coffee Table
Display Cabinet
DVD/Video & Cabinet
Telephone Table
Nest Of Tables
Mirrors/Pictures
Stereo System
Book Cases Small
Occasional Chairs
Book Cases Large
3 Piece Suite
Book Shelves
3 Seater Sofa
Piano
2 Seater Sofa
China Cabinet Small
Standard Lamp
China Cabinet Medium
Lamp Table
China Cabinet Large
Stools
Music Cabinet
Arm Chair
Grand Father Clock
No. of Cartons

Dining Room Information

Please tick the items to be removed

ITEM
 Quantity
ITEM
Quantity
Dining Table Small
Corner Unit
Dining Table Medium
Sideboard
Dining Table Large
Hostess / Tea Trolley
Dining Chair
Occasional Table
Rocking Chair
Bureau
Carver Chair
Display Cabinet
   
No. of Cartons

Kitchen/Hall Information

Please tick the items to be removed

ITEM
 Quantity
ITEM
Quantity
Cooker
Fridge
Freezer
Freezer / Chest
Upright Fridge / Freezer
Tumble Dryer
Vacuum Cleaner
Dishwasher
Microwave
Kitchen Chairs
Stools
Kitchen Table Small
Washing Machine
Kitchen Table Medium
Baby's Hi Chair
Kitchen Table Large
   
No. of Cartons

Bedroom One Information

Please tick the items to be removed

ITEM
Quantity
ITEM
Quantity
Bedside Lamp
Linen Basket
Fitted Wardrobes
Single beds
Dressing Table
Folding Bed
Bedside Cabinets
Double Beds
Chair
King size Beds
Sun bed
Bunk Beds
Childs Desk / Computer Work Station
Child's cot
Large desk
Office Chairs
Medium desk
Bedding Box
Three Section Wardrobes
Small Chest Of Drawers
Wardrobes (sizes)
Medium Chest Of Drawers
Wardrobes (sizes)
Large Chest Of Drawers
Wardrobes (sizes)
No. of Cartons 
   
No. of Wardrobe Cartons

Bedroom Two Information

Please tick the items to be removed

ITEM
Quantity
ITEM
Quantity
Bedside Lamp
Linen Basket
Fitted Wardrobes
Single beds
Dressing Table
Folding Bed
Bedside Cabinets
Double Beds
Chair
King size Beds
Sun bed
Bunk Beds
Childs Desk / Computer Work Station
Child's cot
Large desk
Office Chairs
Medium desk
Bedding Box
Three Section Wardrobes
Small Chest Of Drawers
Wardrobes (sizes)
Medium Chest Of Drawers
Wardrobes (sizes)
Large Chest Of Drawers
Wardrobes (sizes)
No. of Cartons 
   
No. of Wardrobe Cartons

Bedroom Three Information

Please tick the items to be removed

ITEM
Quantity
ITEM
Quantity
Bedside Lamp
Linen Basket
Fitted Wardrobes
Single beds
Dressing Table
Folding Bed
Bedside Cabinets
Double Beds
Chair
King size Beds
Sun bed
Bunk Beds
Childs Desk / Computer Work Station
Child's cot
Large desk
Office Chairs
Medium desk
Bedding Box
Three Section Wardrobes
Small Chest Of Drawers
Wardrobes (sizes)
Medium Chest Of Drawers
Wardrobes (sizes)
Large Chest Of Drawers
Wardrobes (sizes)
No. of Cartons 
   
No. of Wardrobe Cartons

Bedroom Four Information

Please tick the items to be removed

ITEM
Quantity
ITEM
Quantity
Bedside Lamp
Linen Basket
Fitted Wardrobes
Single beds
Dressing Table
Folding Bed
Bedside Cabinets
Double Beds
Chair
King size Beds
Sun bed
Bunk Beds
Childs Desk / Computer Work Station
Child's cot
Large desk
Office Chairs
Medium desk
Bedding Box
Three Section Wardrobes
Small Chest Of Drawers
Wardrobes (sizes)
Medium Chest Of Drawers
Wardrobes (sizes)
Large Chest Of Drawers
Wardrobes (sizes)
No. of Cartons 
   
No. of Wardrobe Cartons

Office/Study Information

Please tick the items to be removed

ITEM
Quantity
ITEM
Quantity
Bedside Lamp
Linen Basket
Fitted Wardrobes
Single beds
Dressing Table
Folding Bed
Bedside Cabinets
Double Beds
Chair
King size Beds
Sun bed
Bunk Beds
Childs Desk / Computer Work Station
Child's cot
Large desk
Office Chairs
Medium desk
Bedding Box
Three Section Wardrobes
Small Chest Of Drawers
Wardrobes (sizes)
Medium Chest Of Drawers
Wardrobes (sizes)
Large Chest Of Drawers
Wardrobes (sizes)
No. of Cartons 
   
No. of Wardrobe Cartons

Outside Information

Please tick the items to be removed

ITEM
Quantity
ITEM
Quantity
Patio Table
Children's Play Equipment (No. of items)
Patio Chairs
Deck Chairs
Sun Lounger
Pram
Step Ladder
Golf Clubs
Extension Ladder
Hose & Reel
Bicycle
Wheel Barrow
Lawn mower
No. of Cartons

 

Additional Information

If there is any further information you feel we should know, please enter it below

i.e. Contents of:- Garden shed/Garage/loft etc.

 

Domestic Removal Estimation

Thank you for the information you have supplied.

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