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Personal Details
Name
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Email
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Contact number
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Alternate contact number
Payment
Payment method
Cash
EFT
Date of removal
Date of removal
*
Click here to select date
How did you find out about us
I found you via:
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Newspaper
Internet
Newsletter
Word of mouth
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Collection Address
Access Details at Collection
Collection Address
(2000 chars left)
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Collection point type
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Select one
House
Flat
Complex
Storage
What is the truck size limitation?
2 Tons
3 Tons
5 Tons
8 Tons
10 Tons
No Limitation
No Trucks allowed
Height Limitation (Meters)
If a truck can't enter, must we arrange a shuttle?
*
No
Yes
Access to truck
*
Easy
Difficult
Distance to truck from collection point
Stairs
*
No
Yes
Number of flights of stairs
Is there an elevator?
*
No
Yes
Name items that need to be disassembled at collection
Is hoisting or rigging of furniture necessary?
*
No
Yes
Do we have to arrange any permits/IDs?
*
No
Yes
Pan handle?
*
No
Yes
Steep driveway?
*
No
Yes
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Delivery Address
Access Details at Delivery
Delivery Address
(2000 chars left)
*
Delivery point type
*
Select one
House
Flat
Complex
Storage
What is the truck size limitation?
2 Tons
3 Tons
5 Tons
8 Tons
10 Tons
No Limitation
No Trucks allowed
Height Limitation (Meters)
If a truck can't enter, must we arrange a shuttle?
*
No
Yes
Access to truck
*
Easy
Difficult
Distance to truck from delivery point
Stairs
*
No
Yes
Number of flights of stairs
Is there an elevator?
*
No
Yes
Name items that need to be reassembled at delivery
Is hoisting or rigging of furniture necessary?
*
No
Yes
Do we have to arrange any permits/IDs?
*
No
Yes
Pan handle?
*
No
Yes
Steep driveway?
*
No
Yes
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Removal Content
3 Seater couch
2 Seater couch
Armchairs
Rocking Chairs
Coffee Table
Lamps
Side Tables
Wall Unit (3 Piece)
HiFi and/or stand
Room Divider
TV
Video/M-Net
TV trolley/cabinet
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Removal Content
Piano
Organ
Poufs/Beanbag
Radiogram
Display Cabinet
Bar
Stools
Dining Room Table
Chairs
Sideboard
Welsh Dresser
Tea Trolley
Hostess trolley
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Removal Content
Kist
Filing cupboard
L-shape desk
Telephone table
Trestle table
Computer and stand
Half-moon table
Hat stand
Safe
Bookcase
Credenza
Desk
Other chairs
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Removal Content
Occasional table
Filing cabinet
Shelves
King-size bed
Double/Queen-size bed
Double bed headboard
Single bed
Single head/foot board
Stack/Bunk bed
Pedestal
Dressing table
Chest of drawers
Cot
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Removal Content
Baby compactum
3 Door wardrobe
2 Door wardrobe
Sewing machine cabinet
Washing machine
Fridge
Stove
Freezer
Dishwasher
Dryer
Laundry basket
Sleeper couch
Vacuum cleaner
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Removal Content
Toy box
Pillars
Hall stand
Wine rack
Table tennis table
Vegetable Rack
Kitchen table
Kitchen chairs/bench
Kitchen unit
Microwave
Carpet
Heater
Garden chairs/bench
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Removal Content
Garden table
Mower
Weed eater
Wheelbarrow
Ladder
Toolbox
Workbench
Garden Tools
Kennel
Pot plants
Dustbin
Picture
Glass top
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Removal Content
Cheval mirror
Boxes
Tea chest
Trunk
Suitcase
Outside umbrella
Bicycle
Gym
Birdbath
Hosepipe
Swing
Jungle Gym
Braai
Kids Toys (Plastic)
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Golf Clubs
Fan
Cooler Box
Curtains
Guitar
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Packaging
Do you require wrapping?
Yes
No
Items to be wrapped (e.g. couches, beds, pictures, TVs, glass tops etc.):
Number of Stock #5 Boxes (450 x 300 x 300):
Number of Stock #7 Boxes (450 x 450 x 500):
Miscellaneous Items/Notes
Security
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