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Name:
Email:
Home Tel:
Mobile Tel:
Removal Month:
Packaging Service:
Value of Insurance
Cover Required (€):

Property Details - Removals From:

House Num / Name:
Street:
Town:
County:
Country:
Postcode:
House Type:
Bedrooms:
Collection / Delivery
Floor:
Is there a lift:
Parking?
Parking distance
from door?
metres
Removal access
through windows?

Property Details - Removals To:

House Num / Name:
Street:
Town:
County:
Country:
Postcode:
House Type:
Bedrooms:
Collection / Delivery
Floor:
Is there a lift:
Parking?
Parking distance
from door?
metres
Removal access
through windows?

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