Domestic Business Overseas European   Application For Household Removals Estimate   Customer's Name Address Telephone Type of Propety House   Flat   Maisonette   Bungalow Floor Flat is on   Date Date of removal New Address Type of Propety House   Flat   Maisonette   Bungalow Floor Flat is on Please indicate aby difficult access for loading / Unloading purpose at either address   Also approximate yardage from parking area to the premises   Old address metres New address metres Do you require us to pack your china and glass   Yes No If so kindly indicate wheather normal or abnormal quantity   Normal Quantity Abnormal Quantity Fitted carpet.Do you require these lifted for you   Yes No Do you require storage facilities   Yes No Will the washing machine / Dishwaher need disconnecting?   Yes No Any wadrobes to dismantled / reassembled   Yes No Any Pianos or large / heavy objects?   How many?         PLEASE MARK OF YOUR HOUSE HOLD EFFECTS ACCORDINGLY       Articles Qty Measure (LxWxH) Dining Room Lounge Side Board Dinning Table Chairs Bookcase/ Wallunits Armchairs Settee Organ/Piano Upright/Grand Piano stool Display Cabinet Television Video/DVD Music System Standing Lamp &Shade Coffee Table   Articles Qty Measure (LxWxH) Dining Room Lounge Ocassional Tables Records Portraits/pictures Carpets Plants Books Mirrors Glass table tops Light fittings Fires: electric/gas     Article Qty Measure (LxWxH) Bedroom1 Bedroom2 Bedroom3 Bedroom4 Nursery Double Wardrobes Dressing table Single Wardrobes Tallboy Double bed Single bed Bunk beds Beside cabinets Chest of drawers Loom chair Ottoman Linen Baskets Carpets Cots Toys Chest Light Fittings   Articles Qty Measure (LxWxH) Hall / Landing Vaccum cleaner Grandfather clock Hall stand Monk beach Chairs Table Carpet Bookcase   Articles Qty Measure (LxWxH) Kitchen Table Chairs Dresser Cabinets Washing machine Tumble dryer Dish washer cooker Refrigerator Freezer   Articles Qty Measure (LxWxH) Garden effect Mower Shed Greenhouse Garden pots Garden tools Shrubs / trees Coal Bunker Garden toys   Articles Qty Measure (LxWxH) Study Desk / Bureau Chair Bench Bookcase Books   Garage Contents     Conservatory Contents     Loft Contents       Please Note: Should items of furniture, household, garage or conservatory effects not be disclosed ,the                         company reserves the right to make additional charges before uplifting your effects   Name   Date       © 2007 Jeakins Removals Web Development by i4