Your details
*
Denotes required field
Name
*
E-mail Address
*
Home Tel No.
*
Mobile No.
*
Removal Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sept
Oct
Nov
Dec
2010
2011
2012
Packing Service Required
*
Yes please!
No thanks!
Insurance Value
(approx)
Where did you hear about us?
Please select
Internet (google)
Printed Advert
Yellow Pages
Check-a-trade
Seen vans
Recommended by a Friend
Thomson Local
Yell.com
BAR website
Removal details
*
Denotes required field
Current Address
Destination Address
Check box if into Store
Address 1
*
Address 1
*
Address 2
Address 2
Town
*
Town
*
County
*
County
*
Postcode
*
Postcode
*
Property Type
*
House
Flat
Bungalow
Property Type
*
House
Flat
Bungalow
No. of floors
1
2
3
4
5
6
7
No. of floors
1
2
3
4
5
6
7
No. of bedrooms
*
1
2
3
4
5
6
7
No. of bedrooms
*
1
2
3
4
5
6
7
Use of Lift
Yes
No
Use of Lift
Yes
No
Parking available
Yes
No
Parking available
Yes
No
Parking distance from door
in Metres
Parking distance from door
in Metres
Unusual Items
Please state here if you have any unusual items which we may need to know about
Piano
Safe
Lathe
Petrol Lawn Mower
Motorbike
Large Garden Ornament
s
I understand that by submitting this form I am aware that the Quotation sent back to me is an Estimate Price only and is only given as a guide - an estimators appointment will be offered to me if required.
