Self Survey |
|
| * Name: |
|
| * E-Mail Address: |
|
| |
|
| Removal From: |
|
| * Address: |
|
| Postcode: |
|
| * Telephone: |
|
| Type of property: |
|
| If Flat, Which Floor & Is Lift Available? |
|
| Number of rooms: |
|
| |
|
| Removal To: |
|
| * Address: |
|
| Postcode: |
|
| Type of property: |
|
| If Flat, Which Floor & Is Lift Available? |
|
| |
|
| If Storage is requested please state length of time: |
|
| Removal Date: |
|
| Is the above date fixed: |
|
| |
|
| Packing Service Required: |
|
| Access: |
|
| Do you wish us to pack boxes? |
|
| Please provide us with name and address of your Company, if they are paying for your removal: |
|
| Please enter any other questions you have: |
|
| |
|
| |
* Compulsary fields |
| Item |
Cubic Volume |
No. Of Items |
| 3 Seater Settee |
60 |
|
| 2 Seater Settee |
50 |
|
| Armchair Small |
20 |
|
| Armchair Large |
30 |
|
| Tub Armchair, Small |
20 |
|
| Wall Unit 6ft |
50 |
|
| Wall Unit Single |
15 |
|
| China Cabinet, large |
50 |
|
| China Cabinet, small |
25 |
|
| China Cabinet, medium |
40 |
|
| Welsh Dresser |
60 |
|
| Sideboard, large |
40 |
|
| Sideboard, medium |
30 |
|
| Sideboard, small |
25 |
|
| Dining Table, large |
60 |
|
| Dining Table, medium |
50 |
|
| Dining Table, small |
40 |
|
| Gate-leg Table, medium |
20 |
|
| Refectory Table, large |
30 |
|
| Occasional Table, small |
20 |
|
| Dining chair |
10 |
|
| Carver |
15 |
|
| Roll-top Desk, large |
30 |
|
| Office Desk |
20 |
|
| Bureau, large |
50 |
|
| Bureau, small |
30 |
|
| Sectional Bookcase, per section |
20 |
|
| Bookcase, large |
30 |
|
| Folding Card Table |
15 |
|
| Overmantel |
10 |
|
| Grandfather Clock |
30 |
|
| Chandelier |
10 |
|
| Standard Lamp |
10 |
|
| Carpet, fitted |
30 |
|
| Carpet |
15 |
|
| Piano, upright |
50 |
|
| Piano, Miniature |
30 |
|
| Piano, Player |
40 |
|
| Piano, Baby Grand |
50 |
|
| Piano Stool |
10 |
|
| Duet Stool |
15 |
|
| Billiard Table |
70 |
|
| Hi-fi system |
10 |
|
| Floor Standing Speakers |
10 |
|
|
|
|
| Item |
Cubic Volume |
No. Of Items |
| Kitchen/Utility |
|
|
| Cooker |
30 |
|
| Microwave cooker |
15 |
|
| Fridge/Freezer, American |
60 |
|
| Freezer, Upright |
30 |
|
| Freezer, chest |
30 |
|
| Fridge Freezer |
20 |
|
| Refrigerator, small |
20 |
|
| Refrigerator, medium |
25 |
|
| Refrigerator, large |
30 |
|
| Washing Machine |
30 |
|
| Washer / Dryer |
30 |
|
| Dishwasher |
30 |
|
| Vacuum Cleaner |
5 |
|
| Electric Floor Polisher |
5 |
|
| Pedal Bin |
25 |
|
| Kitchen Cabinet |
40 |
|
| Kitchen Table, large |
60 |
|
| Kitchen Table, small |
40 |
|
| Kitchen Chair |
15 |
|
| Baby's High Chair |
15 |
|
| Tea Trolley |
10 |
|
| Butchers Block |
30 |
|
| Store Cupboard, medium |
10 |
|
| Hand Sewing Machine |
5 |
|
| Treadle Sewing machine |
20 |
|
| Hall Table |
10 |
|
| Hall Stand |
20 |
|
| Hall chair |
15 |
|
| Wooden Chest |
20 |
|
| Clothes Horse, 3 fold |
5 |
|
| Stair Carpet |
30 |
|
| Safe ( state make & weight ) |
20 |
|
| Outside effects |
|
|
| Garden Roller |
15 |
|
| Wheelbarrow |
20 |
|
| Lawn Mower, normal |
20 |
|
| Motor Lawn Mower, normal |
20 |
|
|
|