Your Info

Title* :
 Mr  Mrs
Surname* :
First Name* :
Phone* :
Company :
Email* :

Removal Information

Planned Moving Date :

Place of Loading

Street Name* :
Street No. :
Zip Code* :
City :
Room :
Living Space (m2) :
Floor :
Building :
Persons :
Elevator in the house usable :
 Yes  No
Setting up prohibition zone ?
 Yes  No  Perhaps
Basement ?
 Yes  No
Attic ?
 Yes  No
Distance between the truck parking lot and front door approx. [M] :

Unloading point

Street Name* :
Street No. :
Zip Code*
City :
Room :
Living Space (m2) :
Floor :
Building :
Persons :
Elevator in the house usable :
 Yes  No
Setting up prohibition zone ?
 Yes  No  Perhaps
Basement ?
 Yes  No
Attic ?
 Yes  No
Distance between the truck parking lot and front door approx. [M]

Services

Packing
 Yes  No
Unpacking
 Yes  No
Furniture Dismantling
 Yes  No
Furniture Assembling
 Yes  No
Kitchen Dismantling
 Yes  No
Kitchen Assembling
 Yes  No

My Remarks

Kindly describe and help us to know about your planned relocation process :
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