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Telephone: 01202 873 860
Beckandfern Ltd Removals Enquiry Form
Title:
First Name:
Last Name:
Telephone:
Fax Number:
Email:
Please state the address you are moving from:
Address1:
Address2:
Address3:
Address 4:
Postcode
Type of Property & vehicle access details: - (House/1st floor/2nd floor/long carry etc
Please state the address you are moving to:
Address1:
Address2:
Address3:
Address4:
Postcode:
Type of Property & vehicle access details: - (House/1st floor/2nd floor/long carry etc
Is storage required?
Yes
No
Period of storage:
Moving Date:
House Contents-Please indicate quantity for each item from drop down menus.
Double Bed:
0
01
02
03
04
05
06
07
08
09
10
Wall Unit:
0
01
02
03
04
05
06
07
08
09
10
Single Bed:
0
01
02
03
04
05
06
07
08
09
10
Desk:
0
01
02
03
04
05
06
07
08
09
10
Bunk Beds:
0
01
02
03
04
05
06
07
08
09
10
Computer:
0
01
02
03
04
05
06
07
08
09
10
Sofa Bed:
0
01
02
03
04
05
06
07
08
09
10
Standard TV:
0
01
02
03
04
05
06
07
08
09
10
Cot:
0
01
02
03
04
05
06
07
08
09
10
Potable TV:
0
01
02
03
04
05
06
07
08
09
10
Bedside Cabinet:
0
01
02
03
04
05
06
07
08
09
10
China Cabinet:
0
01
02
03
04
05
06
07
08
09
10
1 Door Wardrobe:
0
01
02
03
04
05
06
07
08
09
10
Corner Cabinet:
0
01
02
03
04
05
06
07
08
09
10
2 Door Wardrobe:
0
01
02
03
04
05
06
07
08
09
10
TV/Video Cabinet:
0
01
02
03
04
05
06
07
08
09
10
3 Door Wardrobe:
0
01
02
03
04
05
06
07
08
09
10
Filing Cabinet:
0
01
02
03
04
05
06
07
08
09
10
Chest of Draws:
0
01
02
03
04
05
06
07
08
09
10
Long Case Clock:
0
01
02
03
04
05
06
07
08
09
10
Dressing Table:
0
01
02
03
04
05
06
07
08
09
10
Pictures:
0
01
02
03
04
05
06
07
08
09
10
Blanket Box:
0
01
02
03
04
05
06
07
08
09
10
Mirrors:
0
01
02
03
04
05
06
07
08
09
10
Dining Table:
0
01
02
03
04
05
06
07
08
09
10
Washing Machine:
0
01
02
03
04
05
06
07
08
09
10
Occasional Table:
0
01
02
03
04
05
06
07
08
09
10
Tumble Drier:
0
01
02
03
04
05
06
07
08
09
10
Dining Chairs:
0
01
02
03
04
05
06
07
08
09
10
Microwave:
0
01
02
03
04
05
06
07
08
09
10
Arm Chairs:
0
01
02
03
04
05
06
07
08
09
10
Fridge Freezer:
0
01
02
03
04
05
06
07
08
09
10
Other Chairs:
0
01
02
03
04
05
06
07
08
09
10
Chest Freezer:
0
01
02
03
04
05
06
07
08
09
10
4 Seater Sofa:
0
01
02
03
04
05
06
07
08
09
10
Upright Freezer:
0
01
02
03
04
05
06
07
08
09
10
3 Seater Sofa:
0
01
02
03
04
05
06
07
08
09
10
Fridge:
0
01
02
03
04
05
06
07
08
09
10
2 Seater Sofa:
0
01
02
03
04
05
06
07
08
09
10
Dishwasher:
0
01
02
03
04
05
06
07
08
09
10
Sideboard:
0
01
02
03
04
05
06
07
08
09
10
Kitchen Table:
0
01
02
03
04
05
06
07
08
09
10
Bureau:
0
01
02
03
04
05
06
07
08
09
10
Kitchen Chairs:
0
01
02
03
04
05
06
07
08
09
10
Bookcase:
0
01
02
03
04
05
06
07
08
09
10
Owner Packed Boxes:
--
Yes
No
Please specify any other items - sports/exercise equipment etc.
Please specify any loft or garage items:
Please specify any garden or shed items:
Please specify any other special requirements:
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28 Humber Road Ferndown. BH22 8XN Tel: 01202 873 860