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Name
Name
:
Home telephone
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E-mail
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Work telephone
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Mobile telephone
:
Moving from
Address
:
Collection Floor
:
Postcode
:
Lift / Elevator?
Yes
No
Town/City
:
Property?
Villa
Apartment
Townhouse
Country
:
Living space in m
2
?
Availability for the truck from the front door (in meters)?
5
15
25
25 plus
Moving to
Address
:
Delivery Floor
:
Postcode
:
Lift / Elevator?
Yes
No
Town/City
:
Property?
Villa
Apartment
Townhouse
Country
:
Living space in m
2
?
Availability for the truck from the front door (in meters)?
5
15
25
25 plus
Volume
Estimated
volume in m
3
Do you require packing service ?
Yes
No
Do you require storage service?
Yes
No
Relevant dates
Collection
Delivery
Possible storage period
Other information
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