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March 11th, 2010

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Your Contact Details

Your Name *:

Current Address *:

Current Postcode *:

Telephone Number *:

Mobile Number:

E-Mail Address *:

Details of your Move

Destination Address *:

Destination Postcode *:

Items to be moved (include boxes) *:

Cubic Feet Moving / Courier-Haulage *: 500 (e.g. Small Flat / Bed-sit) 750 (e.g. 1-2 Bedroom Flat) 1000 (e.g. 3 Bedroom House) 1500 (e.g. 4 Bedroom House) 2000 (e.g. 5 Bedroom House) Haulage / Courier item

Date of Move *: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December