Removals and Storage, House Removals, Furniture Moving - Pecks Removals and Storage Staffordshire Derbyshire and Cheshire

Personal Details
Please enter your full name*	Email Address*

Telephone*

Address from:	Address to:

Please state if Peck's packing service is required:	Is access reasonable?

Any special requirements?	Are you moving with children, if so what age?

Please indicate Number of Items to be Moved i.e.
Bathroom 1.	Bathroom 2.	Kitchen.
Wall unit large	Towel Rail....	Fridge
No. of boxes	No. of boxes	Freezer
Any other	Any other	Dryer
		Washer
Bedroom 1.	Bedroom 2.	Cooker
Bed	Bed	Dishwasher
Wardrobe	Wardrobe	Table
Bedside Cabinet	Bedside Cabinet	Chairs
Drawers	Drawers	Microwave
Desk	Desk	TV / Video
Chairs	Chairs	Any Other
Computer	Computer	Lounge.
Dressing Table	Dressing Table	3 Piece / 2 Piece
Book Case	Book Case	Chairs
TV / Video	TV / Video	Cabinet
Any Other	Any Other	Dresser
		TV / Video
Bedroom 3.	Bedroom 4.	Coffee Table
Bed	Bed	Book Case
Wardrobe	Wardrobe	Any Other
Bedside Cabinet	Bedside Cabinet	Dining Room.
Drawers	Drawers	Table
Desk	Desk	Chairs
Chairs	Chairs	Dresser
Computer	Computer	Cabinet
Dressing Table	Dressing Table	Book Case
Book Case	Book Case	Piano
TV / Video	TV / Video	Any Other
Any Other	Any Other

Garden Items.	Garage Items	Study / Conservatory
Plant Pots	Bikes	3 Piece / 2 Piece
Garden Furniture	Lawnmower	TV / Video
Benches	Tools	Desk
Statues	Tent	Computer
Children's Slide	Fridge	Chairs
Children's Swing	Work Bench	Filing Cabinet
Barbeque	Ladders	Book Case
Water Feature	Chest Freezer	Table
Miscellaneous Items	Miscellaneous Items	Miscellaneous Items
Any Other	Any Other	Any Other

Loft / Attic.	Other Items. (Please State)	Approx. Number of Boxes:
Christmas Decorations
Suit Cases
No. of Miscellaneous Items
Finally...how did you hear about us? *
		* - denote compulsory fields

Estimates