Demo Form This is a DEMO form. Please enable JavaScript in your browser to complete this form. - Step 1 of 5YOUR DETAILSPlease enter your details below:TitlePlease SelectMrMrsMissMsDrRevOtherOther TitleName *FirstLastTelephone No *Mobile NoDate of RemovalLeave Blank If UnknownNextADDRESS DETAILSPlease enter the addresses you would like moving 'From' and 'To' below:Collection *Please SelectHouseBungalowFlatStorage FacilityDelivery *Please SelectHouseBungalowFlatStorage FacilityAddress (Collection) *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAddress (Delivery) *Address Line 1Address Line 2CityState / Province / RegionPostal CodePreviousNextGOODS TO BE MOVED FROM EACH ROOMPlease indicate the approximate number of packed / to be packed boxes from each room. See guide.Lounge / Living RoomPlease list items for removal here.Normal Boxes: Selected Value: 0 Drag slider to select the number of boxes.Fragile Boxes: Selected Value: 0 Drag slider to select the number of boxes.Heavy Boxes: Selected Value: 0 Drag slider to select the number of boxes.KitchenPlease list items for removal here.Normal Boxes: Selected Value: 0 Drag slider to select the number of boxes.Fragile Boxes: Selected Value: 0 Drag slider to select the number of boxes.Heavy Boxes: Selected Value: 0 Drag slider to select the number of boxes.Bedroom 1Please list items for removal here.Normal Boxes: Selected Value: 0 Drag slider to select the number of boxes.Fragile Boxes: Selected Value: 0 Drag slider to select the number of boxes.Heavy Boxes: Selected Value: 0 Drag slider to select the number of boxes.Wardrobe Boxes: Selected Value: 0 Drag slider to select the number of boxes.Bedroom 2Please list items for removal here.Normal Boxes: Selected Value: 0 Drag slider to select the number of boxes.Fragile Boxes: Selected Value: 0 Drag slider to select the number of boxes.Heavy Boxes: Selected Value: 0 Drag slider to select the number of boxes.Wardrobe Boxes: Selected Value: 0 Drag slider to select the number of boxes.Bedroom 3Please list items for removal here.Normal Boxes: Selected Value: 0 Drag slider to select the number of boxes.Fragile Boxes: Selected Value: 0 Drag slider to select the number of boxes.Heavy Boxes: Selected Value: 0 Drag slider to select the number of boxes.Wardrobe Boxes: Selected Value: 0 Drag slider to select the number of boxes.Bedroom 4Please list items for removal here.Normal Boxes: Selected Value: 0 Drag slider to select the number of boxes.Fragile Boxes: Selected Value: 0 Drag slider to select the number of boxes.Heavy Boxes: Selected Value: 0 Drag slider to select the number of boxes.Wardrobe Boxes: Selected Value: 0 Drag slider to select the number of boxes.HallwayPlease list items for removal here.Normal Boxes: Selected Value: 0 Drag slider to select the number of boxes.Fragile Boxes: Selected Value: 0 Drag slider to select the number of boxes.Heavy Boxes: Selected Value: 0 Drag slider to select the number of boxes.LoftPlease list items for removal here.Normal Boxes: Selected Value: 0 Drag slider to select the number of boxes.Garage / ShedPlease list items for removal here.Normal Boxes: Selected Value: 0 Drag slider to select the number of boxes.GardenPlease list items for removal here.Normal Boxes: Selected Value: 0 Drag slider to select the number of boxes.PreviousNextRESTRICTIONSNote: Removal Vehicles can be Very Large Approx size of 18ton Pantechnicon Vehicle, 12m (40ft) long x 4.0m (13ft 3") high x 2.6m (8ft 7") wide.Floor(s)What floor(s) do you require us to collect/deliver to?Collection *Please SelectGround FloorGround and 1st FloorGround, 1st and 2nd FloorFirst FloorFirst and 2nd FloorSecond FloorSecond and Third FloorThird FloorOther - Explain BelowDelivery *Please SelectGround FloorGround and 1st FloorGround, 1st and 2nd FloorFirst FloorFirst and 2nd FloorSecond FloorSecond and Third FloorThird FloorOther - Explain BelowWidth, height and parking restrictionsAre there any width, height or parking restrictions at either property? (See note below)Collection *Please SelectNoYes - Please explain in the box below.Delivery *Please SelectNoYes - Please explain in the box below.Dibbens Storage FacilityDistanceWhat is the approx' distance from door to suitable parking space for our lorry? Include any internal corridors if moving to/from an apartmentCollection *Please Select0 - 10m (0 -33ft)10 - 15m (33 - 50ft)15 - 20m (50 - 65ft)Over 20m - Please describe below.Delivery *Please Select0 - 10m (0 -33ft)10 - 15m (33 - 50ft)15 - 20m (50 - 65ft)Over 20m - Please describe below.Dibbens Storage FacilityDifficult itemsTo your knowledge, are there any items that you are concerned may be difficult to get through doorways?Collection *Please SelectNoYes - Please explain in the box below.Delivery *Please SelectNoYes - Please explain in the box below.Dibbens Storage FacilityPlease provide any further information here. Include any items of furniture you will need dismantling and/or reassembling by our staff.PreviousNextPACKING SERVICEPlease complete if you require our packing service. Please note: Packing Excludes Garages, Sheds and Out BuildingsPacking service requiredNoneKitchen packing onlyFragile Pack Only - Packing All Glass/China/Ornaments & Pictures/MirrorsKitchen Pack & Fragile PackFull House Pack - (Excludes Loft & Outside)Number of boxes needed Selected Value: 0 Approx. Number Of Boxes You Would Like Us To PackDo you require our unpacking service?Please SelectNoYesDo you require a quotation with and without a packing service?Please SelectNoYesExtra InformationPlease enter any further information you feel may be relevant. e.g. A quotation from a local mover may indicate volume or size of vehicle required.File Upload Click or drag files to this area to upload. You can upload up to 20 files. Upload online inventory form and photos if needed.Where did you hear about us?Please SelectRecommendationSeen our vehiclesOnline searchCheckatrade.comBuy With ConfidenceBritish Association Of RemoversOtherOtherPreviousSubmit
