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Use the Check List below to help complete our on-line form.
     
(If you wish to Fax or Post this form rather than complete our on-line form, please also complete our Removal questionnaire)
2 Central Road
 
Essendine Industrial Estate
Telephone: 01780 763536
Essendine
Rutland
Fax: 01780 481575
PE9 4LJ
   
REMOVAL QUESTIONNAIRE
Name
Correspondence Address
 
  Post code
Telephone Home Telephone Work Telephone Mobile
 
Collection Address
 
 
 
Preferred Date
Delivery Address
 
 
 
Preferred Date
 
Directions
 
 
House type: House Bungalow Flat What Floor? Lift YES/NO
Number of Bedrooms   Reception Rooms Outbuildings
 
How close to your front door may we park a large van? Yards/mtrs
Will you require storage? For how long?
Please state the approximate total value of your effects £ (For insurance Purposes)
Are there any items to be dismantled?
Will fitted carpets be untacked ready for removal?
Packing: Will you require Steele's Removals to pack?
Everything
    
Only China/Glass/Breakables
    
All owner packed
    
Special Requests: Will you require Steele's Removals to unpack?
 
For Office Use Only
 

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  Check List Please indicate the number of items beside the appropriate article and make any additions necessary
Lounge       Mirror   Wardrobe Single  
Settee (2 seater)       Packing Cases   Wardrobe Single  
Settee (3 seater)   Kitchen   Suit Cases   Dressing Table  
Armchair(s)   Table   Hanging Wardrobe   Chest of Drawers  
Easy Chair(s)   Chair   Headboard   Bedside Cabinet  
Grand Piano   Cooker   2   Ottoman  
Upright Piano   Fridge   2   Chair  
China Cabinet   Fridge Freezer   Bedroom 2   Carpet  
Bookcase   Chest Freezer   Bed Single   Lamps  
Coffee Table   Washing Machine   Bed Double   Pictures  
Side Table   Dishwasher 2 Wardrobe Single   Mirror  
Television   Tumble Dryer   Wardrobe Double   Packing Cases  
Hi-fi Music Centre   Microwave   Dressing Table   Suit Cases  
Standard Lamp   Cabinet   Chest of Drawers      
Wall Unit Large   Packing Cases   Bedside Cabinet   Outside  
Wall Unit Small   Dresser   Ottoman   Lawn Mower  
Video   High Chair   Chair   Roller  
DVD Player   Television   Carpet   Wheelbarrow  
Bureau/desk       Lamps   Shed  
Light Fittings   Hall/Landing/Loft   Pictures   Greenhouse  
Carpet   Table   Mirror   Garden Table  
Rugs   Hall Stand   Packing Cases   Chair/Benches  
Speakers   Packing Cases   Suit Cases   Dustbin  
Pictures   Grandfather Clock       Ladder  
Packing Cases   Carpet   Bedroom 3   Steps  
Plant Stand   Pictures   Bed Single   Garden tools x 4  
Magazine Rack   Barometer   Bed Double   Workbench  
Pouffe   Ironing Board   Wardrobe Single   Hand Tools  
Log Basket   Plant Stand   Wardrobe Double   Pram  
Plants   Hoover   Dressing Table   Bicycles  
    Chair   Chest of Drawers   Golf Clubs/Trolley  
        Bedside Cabinet   Potted Plants  
Dining Room   Bedroom 1   Ottoman   Large Ornaments  
Dinning Table   Bed Single   Chair   Deck Chairs  
Dinning Chairs   Bed Double   Carpet   Rotary Line  
Carver   Wardrobe Single   Lamps   Bar-B-Q  
Sideboard   Wardrobe Double   Pictures   Timber  
Bookcase   Dressing Table   Mirror      
Easy Chair   Chest of Drawers   Packing Cases      
China Cabinet   Bedside Cabinet   Suit Cases   Miscellaneous Items  
Side Table   Ottoman          
Hostess Trolley   Chair          
Carpet   Carpet   Bedroom 4      
Pictures   Lamps   Bed Single      
Packing Cases   Pictures   Bed Double