Please make sure all the fields marked with a * are filled in.

Title   Mr Mrs Ms Miss Dr Rev      Name    *

E-Mail Address    *

Your Phone No.    *

Removal From     Enter Your Details Here *

Details of Property	Type of Property	Access to Property	Parking
1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5 Bedroom Select Type *	Bungalow Town House Flat Semi Detached Detached Other Select Type *	Good Fair Poor Select *	Good Fair Poor Select *

Removal To         Enter Your Details Here   *

Expected Date of Move      *

Details of Property	Type of Property	Access to Property	Parking
1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5 Bedroom Select Type *	Bungalow Town House Flat Semi Detached Detached Other Select Type *	Good Fair Poor Select *	Good Fair Poor Select *

Please select your items for removal below. Enter  the amount you have in the box.

Settee Large  Settee Medium      Settee Small Armchair Large   Armchair Small Tub Armchair Occasional Chair  Bureau Large Bureau Small Wall Unit    Roll top Desk  Folding card table China cabinet large  China cabinet medium China cabinet small Sectional Bookcase Bookcase Large Bookshelves Overmantel   Grandfather Clock Chandelier Standard Lamp Carpet (fitted) Carpet   Piano (upright)  Piano (Miniature) Piano (player)  Piano (Baby Grand)  Piano (Boudoir Grand) Piano Stool Duet Stool Hi Fi Unit   TV and Video Nest of tables     Music cabinet Stool Mirror  Coffee table Picture  Welsh Dresser    Sideboard (Large) Sideboard (Medium) Sideboard (Small)   Dining table (Large) Dining table (Medium) Dining table (Small) Gate leg table (medium) Refectory table (large)  Occasional table (small) Dining Chair Carver Wardrobe Fitment Wardrobe 6' 6" Wardrobe 4' 6"  Wardrobe 3'0"   Wardrobe 2'6"  Dressing table Chest of Drawers (large) Chest of Drawers (medium)  Chest of Drawers (small) TallBoy          Washstand and slab Folding bed Bedroom chair    Lloyd Loom chair  Tub armchair Bedstead 4' 6"  Bedstead 4' 0"  Bedstead 3' 0" Divan (Super king)  Divan (King size) Divan (Double)  Divan (Single)  Bunkbeds Continental headboard Childs cot   Bedside table Ottoman Linen basket Draught screen Table lamp Cooker   Box - china/glass Box - kitchen utensils Freezer upright Freezer chest Fridge Freezer Refrigerator (small) Refrigerator (medium) Refrigerator (large) Washing Machine Washer/Dryer Dryer Vacuum cleaner  Dishwasher   Kitchen cabinet Kitchen table (large) Kitchen table (small) Kitchen chair  Baby's High Chair   Tea trolley  Tray and stand Store cupboard Sewing machine Treadle sewing machine Hall table  Hall stand Hall chair Oak coffer  Clothes horse Lawn mower Motor lawn mower  Flymo Sun lounger Hose and reel  Garden tools Dustbin  Step ladder  Extension ladder Garden seat Bicycle  Pram Deck chairs Workbench  Plant pots Plants

Following items in tea chest size boxes:

Books		Linen/blankets		Toys
Miscellaneous		Wine		Clothing in wardrobe cartons

Other items:

Item 1

Item 2

Item 3