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FROM
Name *
Address *
Tel *
Which floors? Basement

Grd

1st

2nd

3rd&more

Is there a lift? Yes

No

TO
Name (if different)
Address *
Tel (if different)
Which floors? Basement

Grd

1st

2nd

3rd&more

Is there a lift? Yes

No

How many people is required?*
Preferable Date (DD/MM/Year)*
Preferable Time (HH/MM)*
Your Email *
ITEMS QTY ITEMS QTY
Sofa – 2 seater Fridge
Sofa – 3 seater Cooker
Sofa – Bed Freezer
Bed Washing Machine
Wardrobe Boxes
Table Bags
Chairs Bits & Pieces
Shelf Units
Other items:
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