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Removal service form southampton
Moving Service Enquiry Form
1.
Customer details
1.1
Full name
*
1.2
Phone number
*
1.3
Email address
*
1.4
Preferred date
*
1.5
Preferred time slot
*
Select a time
Morning (9am–12pm)
Midday (12pm–3pm)
Afternoon (3pm–6pm)
Evening (6pm–9pm)
1.6
Flexible with date/time?
Select
Yes
Somewhat
No
2.
Pick-Up & Drop-Off addresses
2.1
Pick-Up address (current property)
*
Flat / Apartment
House
Bungalow
Other
2.2
Floor level (if flat)
2.3
House / flat number or name
2.4
Street / road name
2.5
Postcode
*
2.6
Pick-Up facilities
Select facility options
Nearby parking
Parking permit required
Driveway available
Lift available
Stairs only
2.7
Entrance to parking distance
Select distance
Less than 10 metres
10–25 metres
More than 25 metres
2.8
Pick-Up access restrictions
Select access restriction(s)
Narrow stairs
Narrow doorways
No parking zone
Long carry distance
Building management restrictions
None
2.9
Drop-Off address (new property)
*
Flat / Apartment
House
Bungalow
Other
2.10
Floor level (if flat)
2.11
House / flat number or name
2.12
Street / road name
2.13
Postcode
*
2.14
Drop-Off facilities
Select facility options
Nearby parking
Parking permit required
Driveway available
Lift available
Stairs only
2.15
Parking to entrance distance
Select distance
Less than 10 metres
10–25 metres
More than 25 metres
2.16
Drop-Off access restrictions
Select access restriction(s)
Narrow stairs
Narrow doorways
No parking zone
Long carry distance
Building management restrictions
None
3.
Items to be moved
3.1
Item types included
Select item type(s)
Sofa
Bed
Wardrobe
Chest of drawers
Dining table / chairs
Fridge / Freezer
Washing machine / Dryer
TV / Electronics
Boxes only
Mixed household items
3.2
Bulky items
3.3
Bags
3.4
Boxes
4.
Dismantling
4.1
Dismantling / reassembly required?
Select
Yes – dismantling required
Yes – dismantling & reassembly required
No
5.
Additional information
5.1
Notes / special instructions
6.
Confirmation
I confirm the information provided is accurate to the best of my knowledge.
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