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Personal Details
Full Name
*
Company Name
*
Email
*
Contact number
*
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:
*
Newspaper
Internet
Newsletter
Word of mouth
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Collection Address
Access Details at Collection
Collection Address
(2000 chars left)
*
Collection point type
*
Select one
House
Flat
Complex
Business park
Storage
Warehouse
Factory
Retail shop
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
Business park
Storage
Warehouse
Factory
Retail shop
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
Coffee Table
Lamps
Side Tables
Wall Unit (3 Piece)
HiFi and/or stand
TV
TV trolley/cabinet
Bar
Stools
Boardroom table
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Removal Content
Chairs
Sideboard
Stationary cupboard (steel)
Filing cupboard (wood)
Credenza
Filing cabinet
Bookcase
Shelves
Typist chairs
Office chairs
Executive chairs
Other chairs
Reception unit
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Removal Content
Display cabinet
Small desk
Medium desk
Large desk
L-shape desk
Drawers trolley
Plan drawers
Architect's drawers
Drawing board
A0 Drawing board
Chest of drawers
Industrial sewing machine
Cutting table
Work units
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Removal Content
Display racks
Partitions
Screens
Computer stand
Computer
Fax
Copier (big)
Copier (small)
Filing trays
Notice board
Tressel table
Hat stand
Coat stand
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Removal Content
Safe
Kitchen table
Kitchen chairs/bench
Kitchen unit
Microwave
Fridge
Freezer
Stove
Water machine
Coffee machine
Heater
Air conditioner
Fan
Carpet
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Removal Content
Tea trolley
Vacuum cleaner
Brooms, mops, etc.
Pot plants
Dustbin
Picture
Glass top
Mirror
Boxes
Tea chest
Ladder
Pillars
Projector
Standing ashtrays
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Miscellaneous Items/Notes
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):
Security
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