Personal Details

Please note: not all obligatory fields are (correctly) filled in.

Initials + Name*

Man / Vrouw

MaleFemale

Telephone (home)*

Telephone (work)

Email address*

Short question / remark

Basic removal information

Please note: not all obligatory fields are (correctly) filled in.

Address of origin

Address*

Postal code*

Town or city*

Country*

Type of home* Ground floor apartment Up stairs flat Family house Flat Canal house Maisonnette Mansion / Villa

If it is an apartment, which floor?

Is there a lift?

NoYes

Parking permit required?

NoYes

Other specific details

Address of destination

Address*

Postal code*

Town or city*

Country*

Type of home* Ground floor apartment Up stairs flat Family house Flat Canal house Maisonnette Mansion / Villa

If it is an apartment, which floor?

Is there a lift?

NoYes

Parking permit required?

NoYes

Other specific details

Dismantle / Assemble furniture?

NoYes

If so, which items

Do you want us to pack the removal boxes?

NoYes

if so, only breakables (glass / China) or everything?

BreakablesEverything

Payment for move

PrivateEmployer

If employer, name employer

Removal date

Furniture storage needed?

NoYes

Inventory list

Please note: not all obligatory fields are (correctly) filled in.

Living room

2 seater sofa

3 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

Dish washer

Buffet

Dining table

Cooker

Refrigerator / freezer combined

Refrigerator / deepfreeze

Microwave / oven

Chair

Number of boxes required (other)

Number of boxes required (breakables)

Master 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

Solarium

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

Bike

Tools

Wood

Cupboard

Wheel barrow

Ladder

Lamp

Plants

Pots

Shelves

Surfboard / canoe

Garden bench

Garden Furniture

Workbench

Number of boxes required (other)

Number of boxes required (breakables)

Special items

Antiques / Other (please specify below)

Pc

Plants

Plasma Tv

Grand piano + piano stool

Piano + piano stool

Here, please describe your antiques in more detail

Other items

Thank you for filling out this quote request. We will contact you as soon as possible.
Kind regards, Mondial Eduard Strang Removals