1-testing new form page

Type:

Residential
International
Commercial

Contact Details:

First Name:*
Last Name:*

  Mr.
Ms.
Daytime number:*
Mobile:
E-mail:*

Moving from:

Address:*

Postcode:*
City:*
Country: United Kingdom
Number of bedrooms:*

Moving to:

Address:*
Postcode:*

City:*
Country: United Kingdom
1.
When do you require removal services?
Within a month
Within 3 months
After 3 months
2.


Potential moving date? (dd-mm-yyyy)

3.
What kind of property are you moving from?
House
Apartment/Flat (Floor#)
Is a lift available? Yes
No
Bungalow
4.
What kind of property are you moving to?

House
Apartment/Flat (Floor#)
Is a lift available? Yes
No
Bungalow
5.

Please make a selection:

This is a request for quotation. I allow 6 local suppliers to contact me to make an in house no

obligation quotation.

This is an information request; I am not yet interested in a removals quote. Please send me some general

information about removal by e-mail.

6.


Do you require any packing services?

Yes
No
Not yet known
7.
Do you require any packing materials (e.g. boxes)?

Yes
No
Not yet known
8.
Do any items need to be dismantled/reassembled?
Yes
No
Not yet known
9.
Do you have any storage requirements?
Yes
No
Not yet known
10.
Are there any access or parking issues? If so, please give details

11.
What is the best time to contact you today?
Time (Choose a time between 8am

and 8pm)

In case we can’t reach you today


What is the best time to contact you tomorrow?

Time (Choose a time between

8am and 8pm)

12.
Other information (e.g. description of your removal)

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