RESIDENTIAL MOVE QUOTE REQUEST FORM
Name
Surname
Home telephone
Mobile telephone
Office telephone
Fax
E mail
MOVING FROM
Street name
Number
Floor
Elevator
yes
Town
Province
Zip code
Country
Road open to vehicle traffic:
Large
Medium
Small
Does the home have balconies/windows facing onto:
Street
Courtyard
Is there parking under these balconies/windows?
Yes
MOVING TO
Street name
Number
Floor
Elevator
yes
Town
Provincia
Zip code
Country
Road open to vehicle traffic:
Large
Medium
Small
Does the home have balconies/windows facing onto:
Street
Courtyard
Is there parking under these balconies/windows?
Yes
Approximate move date
Approximate move date
€
REQUESTED SERVICES
Yes
Yes
Packing of contents
Unpacking of contents
Packing of furniture
Unpacking of furniture
Dismantling of furniture
Reassembly of furniture
Removal of light bulbs
Replacement of light bulbs
Removal of curtain rods
Replacement of curtain rods
Disconnection of home appliances
Supply of packing materials
List any dismantling operations excluded from supply
List any assembly operations excluded from supply
Moving contents of furniture only, not furniture itself
Yes
DESCRIPTION OF GOODS TO BE MOVED
Total square metres of home:
Entrance hall
Corridor
Kitchen
Family room
Parlour
Living room
Study
Bathrooms (n.)
Bedrooms (n.)
Storage room
Patio
Basement storage area
Attic
Garage
