Title ( Mr. / Mrs. / Ms.)
Please Choose Title
Mr.
Mrs.
Miss
Ms.
Dr.
First Name
Last Name
Home Telephone Number
E mail
address
Please
confirm email
Mobile Tel if available
Your UK address (If this is not the collection point please complete below)
Collection address if
different from above.also show telephone number at collection point)
Preferred day you would like
us to collect.
Collection Day. Please Choose
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
AM
Date of Collection example: 14/02/2008
Important Information: In order for us to provide you with the correct
level of service on your moving day moving order. Thank you for helping us to help you.
Information about
the goods you would like us to ship......
Details of packages
already packed by you. Example: 8 boxes, 2 suitcases, 5 bags,
Details of goods you
would like us to pack. Example:
PC, TV, 4 Chairs, Pictures, Mirrors, Crockery,
China, books, clothes etc.....
If you do not require any packing please write
"None"
Do you have any particularly large, fragile items to
be packed. e.g. Large mirrors, large pictures, glass top tables,
sculptures, artworks..
Clothes: We can provide hanging garment boxes. These
will take up a little more space but provide a tidier, crease free
solution when moving expensive suits, dresses etc..
Details of goods which will require at least two men
to lift.If NONE, please write None.
Do you need any items to be dismantled, e.g. beds,
wardrobes, tables etc....
Please Choose Yes or No
No_Items_To_Be_Dismantled_or......
Yes. I
will require some items to be dismantled
Please list any items to be dismantled here.
Information about access to your property on
moving day
Property Access, please
read carefully.
The following questions should be answered on
Parking and Parking Restrictions.
We will call to discuss any
parking restrictions
Parking Info. Please Choose
Driveway, easy access
Outside
Front Door. No restrictions
Outside Front Door. Parking Restrictions
No Parking. Nearest is 100 Yards / 100 Metres
No Parking. Nearest is over 100 yards / 100 metres
Location. Please tick as many boxes that best suite your location.
We may call you to discuss vehicle access before your moving
day.
Overseas contact details and
destination address
Overseas Contact Name
Overseas Address, in full
including postal and zip codes.
Overseas Tel. No
Overseas email if different from UK
email.
(We need a working email to contact you
after shipment of goods)
Overseas work No.
Overseas Fax No
Please tell us how you would like to pay. NO
PAYMENT IS REQUIRED NOW. We require payment only after we have
collected and packed, but before we ship overseas.
Please Choose
Payment Terms
Credit Card (subject to a 2% Fee)
Cheque
Cash
Bank Transfer
Debit Card (subject to a £1.50 fee)
Please tell us the date you are leaving the
UK.
Do you intend to take out insurance
Please Choose
Insurance Here
Yes I will require
insurance
No. I
definitely do not require any insurance.
We require the following information for UK and
Overseas customs authorities.
Please confirm you have read and agreed.
This willOur terms
and conditions here.
Please confirm you have read our terms
Terms and
Conditions agreed. Please proceed.
