Please Fill the Form Below :

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Title	Mr. Miss. Mrs.
First Name
Last Name
Email Address
Home Telephone Number
Work Telephone Number
Mobile Number
Address you are moving from
Country (if not UK)
Postcode
House
Flat
Maisonette
Bungalow
Other please specify
How many Bedrooms does your Property have ?
If Flat please specify which floor, Use -1 for basement, 0 for ground floor etc
If Lift how many people does it hold
Is the access to your address more than 25 metres from where the truck will have to park	Yes No
Is the access to your address a known problem e.g. inaccessible lane / narrow gate or driveway	Yes No
PARKING         No Problem S. Yellow Resident D. Yellow Meter  Other, Please Specify
Your preferred removal date and day
Please indicate below the number of some of the larger items of furniture to be moved :
Sofa   Bunk Beds Armchair   Cot Other Chairs (dining,Kitchen etc)   Chest of Drawers / Chests / Filing cabinets Display Cabinet / Sideboard   Free standing wardrobes Dining Table   Hanging space in fitted wardrobes, in metres Bureau / Officedesk / dressing table   Cooker Bookshelves   Kitchen Table Metres of Books to be moved   Fridge / Freezer Coffee table   Washing Machine Queen / King bed   Dishwasher Double Bed   Tumble Dryer Single Bed
SPECIALIST ITEMS:
Upright Piano  Snooker Table  Grand Piano Grandfather Clock  Antiques
Additional Items to be moved:
Contents of cellar Yes No Contents of Loft Yes No Contents of Garage Yes No           How many large Items of garden furniture       Garden shed / Greenhouse, de-constructed       How many large items from garden shed       Number of large indoor or outdooor plants
Any other significant items that have not been listed above
Did all your furniture and effects come in via the doors	Yes No
THE FOLLOWING
Packing Yes No UnPacking Yes No
PACKING MATERIALS, if you are going to pack yourself, the following packs can be supplied please tick your preferred option. To see what each pack contains please see the pull down description
Starter Extra Standard Standard Large No Materials
Extra Materials can be ordered by placing the additional number you require against the list
Tea Cartons
Utility Cartons
Book Cartons
Picture Cartons
Portable Wardrobes
Linen Cartons
Plastic Kingsize Mattress Cover
Plastic Double Mattress Cover
Plastic Single Mattress Cover
Plastic Large Sofa Cover
Plastic Armchair Cover
Half Ream of Packing Paper
Full Ream of Packing Paper
Small Bubblewrap
Large Bubblewrap
Rolls of Tape
Address you are moving to
Country (if not UK)
Postcode
House
Flat
Maisonette
Bungalow
Other please specify
If Flat please specify which floor, Use -1 for basement, 0 for ground floor etc
If Lift how many people does it hold
Is the access to your address more than 25 metres from where the truck will have to park	Yes No
Is the access to your address a known problem e.g. inaccessible lane / narrow gate or driveway	Yes No
PARKING         No Problem S. Yellow Resident D. Yellow Meter  Other, Please Specify
INSURANCE
Are you interested in fully comprehensive all risk goods in transit insurance to a cover of £25,000	Yes No
Are you interested in fully comprehensive all risk premises protection	Yes No
Are you interested in BAR Careline insurance	Yes No
(You can enjoy complete peace of mind with BAR Careline. BAR Careline gives you protection against unforseen accidents and problems i.e. if you can not move into your new home, a legal dispute arises, your car breaks down, an accident occours or you have a household emergency.)
This completed survey form will now be submitted to net-moves. You will be contacted within 24 hours or the next working day. Due to the complexities of moving, after analysis of your submitted survey form you may still be contacted to arrange a free site survey