European Van Lines Ltd, Survey Request Form

Client Quotation Request Form

NOTE: fields marked with a are mandatory and must be completed.
Your Personal Details
Full Name
Email Address
Re-type Email Address
Company Name
Telephone No.
Fax No.
Full Address
Send quote by what method?
Removal from City, County
Destination City, Country
Removal From what type of building	Floor No.
Removal To what type of building	Floor No.
Expected Move Date
Please Indicate service required (control click to select more than one)
For personal effects only removals please list the items to moved: number of boxes etc i.e. 10 boxes, 1 trunk, 1 computer, 1 printer, 1 bike. There will be no need to fill any of the remainder of the form so just scroll down to the bottom of the page and click "submit button" below.
list the items in the box

BEDROOM				KITCHEN
Item	No.	Item	No.	Item	No.	Item	No.
6'6" Wardrobe		4'6" Wardrobe		Cooker/Gas/Electric Range		Cooker/Gas/Electric 60cm
Bed 3'		Bed 4'6"		Kitchen Table Large		Kitchen Table Small
Bed 2'6		Bed 5'		Kitchen Chairs		Kitchen Stools
Z Beds		Headboard		Baby High Chair		Tall Fridge/Freezer
Cot		Bunk Beds		Fridge - Large		Fridge - Small
Double Duvets		Single Duvets		Chest Freezer		Upright Freezer
Pictures		Chest of 3 Draws		Washing Machine		Twin Tub
Chest of 4 Draws		Chest of 5 Draws		Dishwasher		Tumble Dryer
Chest of 4 Draws		Chest of 6 Draws		Microwave		American Fridge
Bedroom Chair		Dressing Table Large		DINING ROOM
Dressing Table Small		Stool		Dining Table - Large		Dining Table - Small
Bedside Table		Blanket Box		Dining Chair		China Cabinet - Large
Ottoman		Portable TV		China Cabinet - Small		Welsh Dresser - 2 Parts
Video		Table Lamps		Welsh Dresser - 1 Part		Sideboard - Large
Tall Boy				Sideboard Small		Hostess Trolley
LOUNGE				Lamps		Pictures
Settee 4 Seater		Settee 3 Seater
Settee 2 Seater		Arnchair - Large		HALL
Armchair - Small		Footstool		Pictures		Mirror
Desk - Large		Desk Small		Grandfather Clock		Hall Table
Bureau - Large		Bureau - Small		Hall Stand		Telephone Seat Table
Bookcase - Tall		Bookcase - Short		CARTONS
Nest of 3 Tables		Coffee Table		Please estimate the number of boxes/cartoons you will need to pack all small items i.e. ornaments, CD's, glassware, china, books, clothing, linen etc. for each room. Cartons size 18" x 18" x 18"
Wall Units Base		Wall Units Top		Bedroom 1		Bedroom 2
Portable TV/Hifi		Lamps		Bedroom 3		Bedroom 4
Music Centre		Rug - Large		Kitchen		Living Room
TV & Stand Large		Mirror		Dining Room		Loft
WARDROBE CARTONS				Garage		Shed
Wardrobe cartons will be supplied for hanging garments, when estimating the number of cartons required, estimate one per single section of a wardrobe (18" railspace)				Study		Conservatory
Bedroom 1		Bedroom 2		OTHER ITEMS
Bedroom 3		Bedroom 4		Filing Cabinet 4 draw		Filing Cabinet 2 draw
GARDEN				Tool Box		Golf Clubs
Roller		Ladder		Exercise Machine		Vacuum Cleaner
Lawn Mower		Hose and Reel		Metal Shelving Unit		Pool Table
Garden Tools		Dustbin		Work Bench		Piano, Upright
Rotating Dryer		Barbecue		Piano Baby Grand		Picnic Bench
Garden Bench		Chairs
Table		Child Bicycle
Adult Bicycle		Childs Large Garden Toys
Pots		Garden Statues
SHED/GARAGE/LOFT				SHED/GARAGE/LOFT
List items to be moved				List items to be dismantled
Please enter the following security code in the next field. For ease of use, only the characters 1 - 9 and A - F are printed. You may enter upper or lower case characters.