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Name

Home Phone

Work Phone

Mobile Phone

Email

please repeat your email address

Fax

Details of current home:
Moving from: *current address

This is a:

No of bedrooms:

(if flat please state which floor)

Lift available?

Access details - eg limited parking facilities, narrow staircases etc.

Parking facilities

Details of new home:
Moving to: *new address

This is a:

No of bedrooms:

(if flat please state which floor)

Lift available?

Access details - eg limited parking facilities, narrow staircases etc.

Parking facilities

Removal date if known (or estimate)

**Tip: Packing case guide: The contents of one single kitchen cupboard would need two packing cases
Please enter details of Tvs, Dvds ETC in the "Technical Equipment" section below
First bedroom
4ft, 5ft or 6ft wardrobe

Chests drawers

Bed (single/double)

Ottoman

Bedside tables

Packing cases

Second bedroom
4ft, 5ft or 6ft wardrobe

Chests drawers

Bed (single/double)

Ottoman

Bedside tables

Packing cases

Third bedroom
4ft, 5ft or 6ft wardrobe

Chests drawers

Bed (single/double)

Ottoman

Bedside tables

Packing cases

Fourth bedroom
4ft, 5ft or 6ft wardrobe

Chests drawers

Bed (single/double)

Ottoman

Bedside tables

Packing cases

Bathroom
Laundry basket

Bathroom cabinet

Lounge
Three piece suite
(large or small)

Extra easy chairs

Grand/upright piano

China cabinet

Bookcase

Occasional tables

CDs/tapes/videos etc

Standard lamp & shade

Pictures/mirrors

Packing cases

Dining room
Sideboard

Dining table

Chairs

Pictures/mirrors

Wines/spirits

Packing cases

Hall & landing
Tables

Chair

Grandfather clock

Packing cases

Technical equipment
TVs
Bed 1

Bed 2

Bed 3

Bed 4

Lounge

Dining room

Other

Video & DVD
Bed 1

Bed 2

Bed 3

Bed 4

Lounge

Dining Room

Other

HiFi
Bed 1

Bed 2

Bed 3

Bed 4

Lounge

Dining Room

Other

Computer
Bed 1

Bed 2

Bed 3

Bed 4

Lounge

Dining Room

Other

Sundries
Carpets/Rugs

Carpets (fitted/squares)

Pram

Sewing machine

Suitcases/trunks

Bicycles

Elec/Gas fires

Tricylces/Scooters

Toys

Kitchen
Tables

Chairs

Washing machine

Cooker

Refrigerator

Freezer

Tumble drier

Microwave

Packing cases

Garden Equipment
Mower

Roller

Wheelbarrow

Shed/Greenhouse

Garden seats

Large ornaments

Tools

Dustbins

Potted plants

Ladders

Steps

Garage-roof space
Tools

Timber

Bench

Packing cases

Extras

Packing
Would you like Leakers to do your packing?