CONTENTS OF HOUSEHOLD Name: Removal from: Telephone No: To:

Please state if House / Bungalow / Flat _____ floor(s) Lift available Y/N Easy access (current address) Y/N Parking: Driveway/Side road/main road/more than 10 metres from house Easy access (new Address) Y/N Please cross out any items you may not have and make any additions necessary. Date of Removal [ ]
FIRST BEDROOM 4/5/6ft Wardrobe Dressing Table Chest of drawers Single/Bunks/Double/King Chairs Bedside table Blanket Chest Packing Cartons SECOND BEDROOM 4/5/6ft Wardrobe Dressing table Chest of Drawers Single/Bunks/Double/King Chairs Bedside table Packing Cartons THIRD BEDROOM 4/5/6ft Wardrobe Dressing Table Chest of Drawers Single/Bunks/Double/King Bedside table Packing Cartons FOURTH BEDROOM 4/5/6ft Wardrobe Dressing Table Single/Bunks/Double/King Bedside Table Packing Cartons BATHROOM Cabinet Laundry Basket Bags of Linen DIM LOUNGE/DRAW.ROOM 2 / 2 / 3 Seater Sofas Arm Chairs Bookcases Display Cabinets Piano (upright/grand) Television/Video/Sky Hi-fi ( & cabinet) Lamps Pictures/Mirrors Boxes of Books Packing Cartons Occasional Tables DINING ROOM Dining Table(4/ 6 / 8 seat) Chairs Sideboard Bureau / Desk Display Cabinet Pictures / Mirrors Packing Cartons KITCHEN Table Chairs Dresser / Unit Cooker Fridge / Freezer Washing Machine Tumble Dryer Dishwasher Microwave Packing Cartons HALL/LANDING/LOFT Chairs Occasional Tables Grandfather Clock / Other Pictures/Mirrors DIM GARAGE Workbench Tools Ladders Bicycles Chest Freezer Racking units GARDEN EQUIP. Lawnmower Wheelbarrow Roller/Cultivator Shed / Greenhouse PatioSet (Plas/Wood) Benches Pot Plants Ornaments Bar-b-cue Dustbins / Water butt SUNDRIES Carpets (fitted sq.ft.) Rugs Gas/electric fires Vacuum cleaner Pram/pushchair Bulky toy items (car) Suitcases Sewing machine OTHER DIM

Please state whether you will be carrying out the packing of china, glass or books yourself Y/N. If you require our staff to pack please estimate number of cartons required ________ (see attached also). Please ensure the following: Fitted carpets uplifted and rolled ready for removal; domestic appliances unplumbed.

Storage facility required Y /N
SIGNATURE: __________________ All goods are carried subject to the company’s Terms & Conditions of Contract.

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