Self Survey Removals Form

Moving From:

Your Name*

Address*

Your Phone*

Your Email* (required)

Type of Property*

Number of Bedrooms*

If Flat, Which Floor & Is There a Lift?

Are there any parking restrictions? And what is the Approximate distance from the parking bay to the property?

Moving To:

Address*

Type of Property*

If Flat, Which Floor & Is There a Lift?

Are there any parking restrictions? And what is the Approximate distance from the parking bay to the property?

Removal Date (is this a fixed date?)*:

Packing Required (delete as applicable):*
Full PackFragile PackingSelf Pack

Do you require storage & for how long?

Do any items need to be dismantled/ Reassembled?

Any Additional Information?

	No. of Pieces
LOUNGE
4 Seater Settee
3 Seater Settee
2 Seater Settee
Armchair
Fireside Chair
China Cabinet,
Sideboard
Dining Table,
Table, large
Table, small
Dining chair
Carver
Desks
Bureau
Bookcase, large
Bookshelves
Grandfather Clock
Chandelier
Standard Lamp
Piano
Hi-fi system
Floor Standing Speakers
CD Stand
T.V.
Video Recorder
Nest Tables
Music Cabinet
Stool
Mirror
Coffee Table
Picture
KITCHEN
Baby's High Chair
Clothes Horse
Cooker
Dishwasher
Dryer
Freezer, Upright/chest
Fridge Freezer
Hall chair
Hall Stand
Hall Table
Kitchen Cabinet
Kitchen Chair
Kitchen Table
Microwave
Pram/Pushchair
Refrigerator
Vacuum Cleaner
Washing Machine
BEDROOMS
Wardrobe Fitment
Wardrobe 6' 6"
Wardrobe 4' 6"
Wardrobe 3' 0"
Wardrobe 2' 6"
Dressing Table
Dressing Chest
Chest of Drawers, large
Chest of Drawers, small
Tallboy, normal
Washstand and Slab
Folding bed
Sofa bed
Bedroom Chair
Bedstead 5'
Bedstead 4'
Bedstead 3'
Bunk Beds
Headboard
Child's Folding Cot
Bedside Table
Box Ottoman
Linen Basket
Table Lamp
Home Computer
OUTSIDE EFFECTS/OTHER ITEMS
Bicycle
Deck Chairs
Extensions Ladder
Golf Clubs
Plants
Work Bench
Barbeque
Dustbin,
Garden Roller
Garden table & Chairs
Garden Tool, per tool
Hose and Reel
Lawn Mower,
Steps
Sun, Lounger
Wheelbarrow
BOXED GOODS
Small Carton Use for books, records, tools, foodtins, small heavy items & bottles - e.g 1 carton per 2ft of book shelf
Medium Carton Use for china, glassware, toys, pans, electrical items, small appliances e.g 2 cartons per kitchen cupboard door
Large Carton Use for linen, folded clothes, soft toys - light items.e.g 4 Cartons per double bed
Wardrobe carton use for hanging clothes and tall plants e.g 1 carton per wardrobe door
Suitcase
Trunk

Self Survey Removals Form

Moving From:

Moving To:

LOUNGE

KITCHEN

BEDROOMS

OUTSIDE EFFECTS/OTHER ITEMS

BOXED GOODS