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Removal service form southampton
1. Customer Details
Full Name
Phone Number
Email Address
Preferred Date
Preferred Time Slot
Select a time
Morning (9am–12pm)
Midday (12pm–3pm)
Afternoon (3pm–6pm)
Evening (6pm–9pm)
Flexible with date/time?
Select
Yes
Somewhat
No
2. Pick-Up & Drop-Off Addresses
Pick-Up Address (Current Property)
Pick-Up Property Type
Select
Flat / Apartment
House
Bungalow
Other
Floor Level (if flat)
House / Flat Number or Name
Street / Road Name
Postcode
Pick-Up Facilities
Nearby parking
Parking permit required
Driveway available
Lift available
Stairs only
Entrance to Parking Distance
Select distance
Less than 10 metres
10–25 metres
More than 25 metres
Access Restrictions
Narrow stairs
Narrow doorways
No parking zone
Long carry distance
Building management restrictions
None
Drop-Off Address (New Property)
Drop-Off Property Type
Select
Flat / Apartment
House
Bungalow
Other
Floor Level (if flat)
House / Flat Number or Name
Street / Road Name
Postcode
Drop-Off Facilities
Nearby parking
Parking permit required
Driveway available
Lift available
Stairs only
Parking to Entrance Distance
Select distance
Less than 10 metres
10–25 metres
More than 25 metres
Access Restrictions
Narrow stairs
Narrow doorways
No parking zone
Long carry distance
Building management restrictions
None
3. Items to Be Moved
Item types included
Sofa
Bed
Wardrobe
Chest of drawers
Dining table / chairs
Fridge / Freezer
Washing machine / Dryer
TV / Electronics
Boxes only
Mixed household items
Bulky Items
Bags
Boxes
4. Dismantling
Dismantling / Reassembly required?
Select
Yes – dismantling required
Yes – dismantling & reassembly required
No
5. Additional Information
Notes / Special Instructions
6. Confirmation
[acceptance* Consent] I confirm the information provided is accurate to the best of my knowledge. I understand that pricing may vary depending on actual items, access, and conditions on the day. [/acceptance]
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