Your Details
*Name:
*Daytime Tel:
*eMail:
Evening Tel:
How you found us:
Thompson
Yellow Pages
Yell.com
Saw Vehicle
Internet
Website
Recommendation
Other
Mobile Tel:
Property Details
From:
To:
House number/name
House number/name
Street
Street
Locality
Locality
Town
Town
County
County
Postcode
Postcode
Property type
Property type
Number of bedrooms
Number of bedrooms
If flat, which floor?
If flat, which floor?
Parking available
Yes
No
Parking available
Yes
No
Parking distance from door
Parking distance from door
If you require a staggered delivery, please
provide
second delivery address and/or storage details:
Moving Status
Proposed moving date:
Exchanged contracts?
Yes
No
General Home Contents
Lounge / Dining Room
Bedrooms
3 Seater Sofa
0
1
2
3
4
5
6
7
8
Wardrobe 6' 6"
0
1
2
3
4
5
6
7
8
2 Seater Sofa
0
1
2
3
4
5
6
7
8
Wardrobe 4' 6"
0
1
2
3
4
5
6
7
8
Armchair
0
1
2
3
4
5
6
7
8
Wardrobe 3' 0"
0
1
2
3
4
5
6
7
8
Occasional Chair
0
1
2
3
4
5
6
7
8
Wardrobe 2' 6"
0
1
2
3
4
5
6
7
8
Wall Unit
0
1
2
3
4
5
6
7
8
Wardrobe (Flat Packed)
0
1
2
3
4
5
6
7
8
China Cabinet
0
1
2
3
4
5
6
7
8
Dressing Table
0
1
2
3
4
5
6
7
8
Welsh Dresser
0
1
2
3
4
5
6
7
8
Chest of Drawers
(Large)
0
1
2
3
4
5
6
7
8
Sideboard
0
1
2
3
4
5
6
7
8
Chest of Drawers
(Medium)
0
1
2
3
4
5
6
7
8
Dining Table
0
1
2
3
4
5
6
7
8
Tallboy
0
1
2
3
4
5
6
7
8
Gate-leg Table
0
1
2
3
4
5
6
7
8
Washstand and Slab
0
1
2
3
4
5
6
7
8
Occasional Table
0
1
2
3
4
5
6
7
8
Folding Bed
0
1
2
3
4
5
6
7
8
Dining Chair
0
1
2
3
4
5
6
7
8
9
Sofa Bed
0
1
2
3
4
5
6
7
8
Roll-Top Desk
0
1
2
3
4
5
6
7
8
Bedroom Chair
0
1
2
3
4
5
6
7
8
Desk
0
1
2
3
4
5
6
7
8
Lloyd Loom Chair
0
1
2
3
4
5
6
7
8
Bookcase
0
1
2
3
4
5
6
7
8
Kingsize Bed
0
1
2
3
4
5
6
7
8
Bookshelves
0
1
2
3
4
5
6
7
8
Double Bed
0
1
2
3
4
5
6
7
8
Overmantel
0
1
2
3
4
5
6
7
8
Single Bed
0
1
2
3
4
5
6
7
8
Grandfather Clock
0
1
2
3
4
5
6
7
8
Bunk Beds
0
1
2
3
4
5
6
7
8
Chandelier
0
1
2
3
4
5
6
7
8
Child's Folding Cot
0
1
2
3
4
5
6
7
8
Standard Lamp
0
1
2
3
4
5
6
7
8
Changing Unit
0
1
2
3
4
5
6
7
8
Carpet, Fitted
0
1
2
3
4
5
6
7
8
Ottoman
0
1
2
3
4
5
6
7
8
Rug
0
1
2
3
4
5
6
7
8
Bedside Table
0
1
2
3
4
5
6
7
8
Piano, Upright
0
1
2
3
4
5
6
7
8
Screen
0
1
2
3
4
5
6
7
8
Piano Grand
0
1
2
3
4
5
6
7
8
Linen Basket
0
1
2
3
4
5
6
7
8
Piano Stool
0
1
2
3
4
5
6
7
8
Bedside Lamp
0
1
2
3
4
5
6
7
8
Hi-Fi System
0
1
2
3
4
5
6
7
8
Home Computer
0
1
2
3
4
5
6
7
8
T.V
0
1
2
3
4
5
6
7
8
Computer Desk
and Chair
0
1
2
3
4
5
6
7
8
Video Recorder/DVD Player
0
1
2
3
4
5
6
7
8
Other:
SKY box
0
1
2
3
4
5
6
7
8
Nest Tables
0
1
2
3
4
5
6
7
8
T.V / Hi Fi Cabinet
0
1
2
3
4
5
6
7
8
Stool
0
1
2
3
4
5
6
7
8
Mirror
0
1
2
3
4
5
6
7
8
Coffee Table
0
1
2
3
4
5
6
7
8
Picture
0
1
2
3
4
5
6
7
8
Safe
(State Make & Weight)
0
1
2
3
4
5
6
7
8
Kitchen
Cooker
0
1
2
3
4
5
6
7
8
Washing Machine
0
1
2
3
4
5
6
7
8
Freezer, Upright
0
1
2
3
4
5
6
7
8
Washer and Dryer
0
1
2
3
4
5
6
7
8
Freezer, Chest
0
1
2
3
4
5
6
7
8
Tumble Dryer
0
1
2
3
4
5
6
7
8
Fridge Freezer
0
1
2
3
4
5
6
7
8
Vacuum Cleaner
0
1
2
3
4
5
6
7
8
Refrigerator
0
1
2
3
4
5
6
7
8
Dishwasher
0
1
2
3
4
5
6
7
8
Kitchen Cabinet
0
1
2
3
4
5
6
7
8
Store Cupboard
0
1
2
3
4
5
6
7
8
Kitchen Table
0
1
2
3
4
5
6
7
8
Hat Rack
0
1
2
3
4
5
6
7
8
Kitchen Chair
0
1
2
3
4
5
6
7
8
Hand Sewing Machine
0
1
2
3
4
5
6
7
8
Baby's High Chair
0
1
2
3
4
5
6
7
8
Treadle Sewing Machine
0
1
2
3
4
5
6
7
8
Hostess Trolley
0
1
2
3
4
5
6
7
8
Hall Table
0
1
2
3
4
5
6
7
8
Hall Chair
0
1
2
3
4
5
6
7
8
Hall Stand
0
1
2
3
4
5
6
7
8
Clothes Horse
0
1
2
3
4
5
6
7
8
Stair Carpet
0
1
2
3
4
5
6
7
8
Outdoors
Garden Roller
0
1
2
3
4
5
6
7
8
Hose and Reel
0
1
2
3
4
5
6
7
8
Wheelbarrow
0
1
2
3
4
5
6
7
8
Garden Tools
0
1
2
3
4
5
6
7
8
Lawn Mower
0
1
2
3
4
5
6
7
8
Dustbin
0
1
2
3
4
5
6
7
8
Petrol Lawn Mower
0
1
2
3
4
5
6
7
8
Stepladder
0
1
2
3
4
5
6
7
8
Sun Lounger
0
1
2
3
4
5
6
7
8
Garden Table & Chairs
0
1
2
3
4
5
6
7
8
Packing Services
Please tick the box for each PACKING service that you require an estimate:
Full
Fragile/China
Self
Storage Details
Please tick the box for each STORAGE service that you require an estimate:
Weekly
Monthly
Additional Information
*I understand that changes to the contents above may affect my personal estimate.