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REMOVAL FROM Name * Address * Email * Tel * House, Flat, Bungalow or Other? * H F B O       Number of bedrooms? * 1 2 3 4 5 6 7 8 9 10       Which floors? * Base- ment Grd 1st 2nd 3rd 4th 5th 6th 7th Is there a Lift? * Yes No Parking restrictions? * None Residents Permit Single Yellow Line Double Yellow lines Red Route Parking distance from front door? * metres	REMOVAL TO Address * House, Flat, Bungalow or Other?   H F B O       Number of bedrooms?   1 2 3 4 5 6 7 8 9 10       Which floors?   Base- ment Grd 1st 2nd 3rd 4th 5th 6th 7th Is there a Lift?   Yes No Parking restrictions?   None Residents Permit Single Yellow Line Double Yellow lines Red Route Parking distance from front door?   metres REMOVAL DATE * select date How accurate is this date? * DEFINITE DATE Give or take 1 week Give or take 2 weeks Give or take 3 weeks Give or take 1 month Give or take 2 months How were we recommended to you?* Seen Vans Friends Recommendation Used Before Yellow Pages Yell.Com Thomson Local ThomsonLocal.Com Google Search Bing Search Yahoo Search Scoot Search Others
KITCHEN/HALL ITEMS QTY Cooker Large 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Cooker Small 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Kitchen Table, large 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Kitchen Table, small 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Kitchen Chairs 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Kitchen Stools 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Baby's High Chair 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Fridge Freezer 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Fridge, large 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Fridge, medium 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Deep Freeze, chest 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Deep Freeze, upright 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Washing Machine, auto 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Dishwasher 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Tumble Dryer 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Microwave oven 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Carpet 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Hall Table 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Hall Stand 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Telephone Seat/Table 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Other Items: LOUNGE/DINING ROOM ITEMS QTY Settee, 4 seater 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Settee, 3 seater 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Settee, 2 seater 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Armchair, large 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Armchair, small 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Dining Table, large 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Dining Table, small 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Dining Chair 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ China Cabinet, large 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ China Cabinet, medium 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ China Cabinet, small 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Welsh Dresser, 2 parts 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Welsh Dresser, 1 part 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Sideboard, large 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Sideboard, small 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Coffee Table 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Hostess Trolley 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Desk, large 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Desk, small 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Bureau, large 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Bureau, small 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Bookcase, small 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Bookcase, large 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Nest of 3 tables 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Wall units, base 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Wall units, top 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Piano, grand 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Piano, baby grand 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Piano, upright 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Standard lamp 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Grandfather clock 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Stereo System 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Television 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Portable Television 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Video 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Carpet 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Other Items:	BEDROOMS ITEMS QTY Wardrobe 6'6" 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Wardrobe 4'6" 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Wardrobe 3' 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Wardrobe 2'6" 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Divan & Mattress 4'6" 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Divan & Mattress 4' 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Divan & Mattress 3' 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Divan & Mattress2'6" 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Set of Bunk Beds 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Zed Bed & Mattress 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Headboard 5' 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Headboard 4'6" 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Headboard 4' 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Headboard 3' 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Headboard 2'6" 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Headboard, Continental 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Childs Folding Cot 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Carpet 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Chest of Drawers 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Tallboy, normal 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Bedroom chair 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Tub Arm chair 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Dressing Table 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Bedside Table 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Box Otto-man 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Other Items: EXTERNAL ITEMS QTY Garden Roller 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Ladder 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Lawn Mower 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Hose and Reel 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Garden Tools 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Bicycle 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Rotating Dryer 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Dustbin 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Garden Seat 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Barbecue 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Table 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Chairs 0 1 2 3 4 5 6 7 8 9 10 11 12 13+ Other Items: LOFT Loft Items: Will you be taking the shed? Yes No Do you require a quote for packing? Yes No Do you require dismantling? Yes No Special notes and Instructions:
Barans Removals are founder members of the National Guild of Removers and Storers, voted UK Remover of the Year and are Ombudsman Approved. We deliver a full range of services for House Removals and Office Removals, including packing, packing materials and secure storage facilities. We also have full Liability Cover for your peace of mind. So wherever your moving, choose Barans Removals. *denotes required fields