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Correspondence Address    
     
     
     
County    
Post code    
     
Collection Address    
     
     
     
County    
Post code    
   
Collection directions
       
Delivery Address      
     
     
     
County    
Post code    
   
Delivery directions
       
Preferred date    
House type:
Please tick
   
House
Bungalow    
Flat    
Is there a lift What floor?
number of bedrooms
Reception rooms
Outbuildings
How close to your front door may we park a large van?
Please state the approximate value of your effects. (for insurance purposes)
Are there any items to be dismantled?
Will fitted carpets be untacked ready for removal?
Will you require storage? For how long?
Will you you require Steele's to pack:
Please tick
Everything
Only china/glass/breakables
All owner packed
Special requests:will you require Steele's to unpack?

 Please indicate the furniture to be moved    
           
Please indicate the number of items beside the appropriate article. Leave blank items not in your home and add any additions necessary.          
           
Lounge    
                 
Settee (2 seater)   Settee (3 seater) Armchair(s)  
Easy Chair(s)   Grand Piano   Upright Piano  
China Cabinet   Bookcase   Coffee Table  
Side Table   Television   Hi-fi Music Centre  
Standard Lamp   Wall Unit Large   Wall Unit Small  
Video   DVD Player   Bureau/desk  
Light Fittings   Carpet   Rugs  
Speakers   Pictures   Packing Cases  
Plant Stand   Magazine Rack   Pouffe  
Log Basket   Plants        
                 
Please use the boxes below for any additional items
                 
     
     
                 
                 

Dining Room  
                 
Dining Table   Dining Chairs   Carver  
Sideboard   Bookcase   Easy Chair  
China Cabinet   Side Table   Hostess Trolley  
Carpet   Pictures   Packing Cases  
                 
Please use the boxes below for any additional items
                 
     
     
                 
                 

Kitchen  
                 
Table   Chair(s)   Cooker  
Fridge   F/Freezer   Chest/Freezer  
Washing Machine   Dishwasher   Tumble Dryer  
Microwave   Cabinet   Packing Cases  
Dresser   Highchair   Television  
                 
Please use the boxes below for any additional items
                 
     
     
                 
                 

Hall/Landing/Loft  
                 
Table   Hall Stand   Packing Cases  
Grandfather Clock   Carpet   Pictures  
Barometer   Ironing Board   Plant Stand  
Hoover   Chair(s)        
                 
Please use the boxes below for any additional items
                 
     
     
                 
                 

Bedroom 1  
                 
Bed (single)   Bed (double)   Wardrobe (single)  
Wardrobe (double)   Dressing Table   Chest of Drawers  
Bedside Cabinet   Ottoman   Chair  
Carpet   Lamp(s)   Pictures  
Mirror   Packing Cases   Suit Cases  
Hanging Wardrobe   Headboard        
                 
Please use the boxes below for any additional items
                 
     
     
                 
                 

Bedroom 2  
                 
Bed (single)   Bed (double)   Wardrobe (single)  
Wardrobe (double)   Dressing Table   Chest of Drawers  
Bedside Cabinet   Ottoman   Chair  
Carpet   Lamp(s)   Pictures  
Mirror   Packing Cases   Suit Cases  
                 
Please use the boxes below for any additional items
     
     
                 
                 

Bedroom 3  
                 
Bed (single)   Bed (double)   Wardrobe (single)  
Wardrobe (double)   Dressing Table   Chest of Drawers  
Bedside Cabinet   Ottoman   Chair  
Carpet   Lamp(s)   Pictures  
Mirror   Packing Cases   Suit Cases  
                 
Please use the boxes below for any additional items
                 
     
     
                 
                 

Bedroom 4  
                 
Bed (single)   Bed (double)   Wardrobe (single)  
Wardrobe (double)   Dressing Table   Chest of Drawers  
Bedside Cabinet   Ottoman   Chair  
Carpet   Lamp(s)   Pictures  
Mirror   Packing Cases   Suit Cases  
                 
Please use the boxes below for any additional items
                 
     
     
                 
                 

Outside    
                 
Lawn Mower   Roller   Wheelbarrow  
Shed   Greenhouse   Garden Table  
Chair/Benches   Dustbin   Ladder  
Steps   Garden tools x 4   Workbench  
Hand Tools   Pram   Bicycles  
Golf clubs/Trolley   Potted Plants   Large Ornaments  
Deck Chairs   Rotary Line   Bar-B-Q  
Timber              
                 
                 
 
Please use the boxes below for any additional items
                 
     
     
                 
                 

Miscellaneous Items  
                 
Please use the boxes below for any miscellaneous items
                 
     
     
                 
                 

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