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Type of home
Family house
Detached house
Semi-Detached house
Appartment
Penthouse
Maisonette
Groundfloor appartment
If it is an appartment, which floor?
Is there a lift?
Yes
No
Parking permit required?
Yes
No
Unknown
Future address
Temporary storage of household effects?
Yes
No
Address
Postal code
Town or city *
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Choose a country
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, Dem. Rep. of the
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Cote d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Oost-Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadaloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and
McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Nederland
Nederlandse Antillen
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Reunion
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia & Sth Sandwich Isl
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Sao Tome and Principe
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor
Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Fortuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Type of home
Family house
Detached house
Semi-Detached house
Appartment
Penthouse
Maisonette
Groundfloor appartment
If it is an apartment, which floor?
Is there a lift?
Yes
No
Parking permit required?
Yes
No
Unknown
Dismantle/assemble furniture?
Yes
No
If so, which items
Do you want us to pack removal boxes?
Yes
No
If so, only breakables (glass/china) or everything?
Breakables
Everything
Do you want us to unpack the removal boxes?
Yes
No
If so, only breakables (glass/china) or everything?
Breakables
Everything
Payment for move
private
employer
If employer, name employer
Removal date *
Living room
Two-seater sofa
Three-seater sofa
Side-tables
Bookcase
Sideboard
Armchair
Clock upright/hanging
Lamp
Plants
Coffee table
Painting/mirror
Secretaire
Stereo unit
Chair
Tv
Tv cabinet
Display cabinet
Carpet/rug
Wall unit per component
Number of boxes required (other)
Number of boxes required (breakables)
Hall
Hall cupboard
Wardrobe box
Hat-stand
Lamp
Plants
Painting/mirror
Number of boxes required (other)
Number of boxes required (breakables)
Dining room
Dining table
Cupboard
Small furniture
Lamp
Painting
Chair
Number of boxes required (other)
Number of boxes required (breakables)
Kitchen
Washing machine
Buffet
Kitchen table
Cooker
Refrigerator/freezer combined
Refrigerator/Deep-freeze
Microwave/oven
Chair
Number of boxes required (other)
Number of boxes required (breakables)
Bedroom
Single bed
Double bed
Double waterbed
Desk/dressing table
Wardrobe box
Desk of drawers
Lamp
Linen cupboard 2-door
Linen cupboard 3-door
Bedside table
Bed surrounds/ headboard
Chair
Tv/pc/stereo
Number of boxes required (other)
Number of boxes required (breakables)
Bedroom 2
Single bed
Double bed
Double waterbed
Desk/dressing table
Wardrobe box
Desk of drawers
Lamp
Linen cupboard 2-door
Linen cupboard 3-door
Bedside table
Bed surrounds/ headboard
Chair
Tv/pc/stereo
Number of boxes required (other)
Number of boxes required (breakables)
Bedroom 3
Single bed
Double bed
Double waterbed
Desk/dressing table
Wardrobe box
Desk of drawers
Lamp
Linen cupboard 2-door
Linen cupboard 3-door
Bedside table
Bed surrounds/ headboard
Chair
Tv/pc/stereo
Number of boxes required (other)
Number of boxes required (breakables)
Bedroom 4
Single bed
Double bed
Double waterbed
Desk/dressing table
Wardrobe box
Desk of drawers
Lamp
Linen cupboard 2-door
Linen cupboard 3-door
Bedside table
Bed surrounds/ headboard
Chair
Tv/pc/stereo
Number of boxes required (other)
Number of boxes required (breakables)
Bathroom
Spin dryer
Tumble dryer
Cupboard
Tumble dryer
Washing machine
Washstand
Number of boxes required (other)
Number of boxes required (breakables)
Study
Bookcase
Desk
Cupboard
Desk of drawers
Lamp
Guest bed
Pc/Tv
Shelves
Chair
Table
Sunbed
Number of boxes required (other)
Number of boxes required (breakables)
Attic
Camping equipment
Cupboard
Christmas decoration
Lamp
Ski box
Chair
Table
Number of boxes required (other)
Number of boxes required (breakables)
Shed, garage, garden, hall
Bicycle
Tools
Wood
Cupboard
Wheelbarrow
Ladder
Lamp
Plants
Pots
Shelves
Surfboard/cano
Garden bench
Garden furniture
Workbench
Number of boxes required (other)
Number of boxes required (breakables)
Special items
Antiques/Other (please specificy below)
Pc
Plants
Plasma tv
Grand piano + piano stool
(please indicate below on which floor)
Piano + piano stool
(please indicate below on which floor)
Here, please describe your antiques in more detail
Remarks/other items
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