Acceptance of Removal Quotation

1. Personal Details

Title:
Forename/Initials:
Surname:
Address:
County:
Postcode:
Telephone:	(including area code)
Mobile:
Email address:

2. Your Removal

Removal From:
Postcode:
Telephone:	(including area code)

Removal To:
Postcode:
Telephone:	(including area code)
Address if goods are in storage:
Postcode:
Telephone:	(including area code)

Moving Date:
Packing Date:

I accept your quotation for the removal and/or storage of furniture and effects shown to your representative. I understand that all work is carried out under the terms and conditions enclosed with your quotation.

Please ensure you tick one of the boxes below

I agree to pay:		by cheque made out to Storeys Removals Ltd, 7 working days prior to my removal
		cash on the day of the removal
		by BACS transfer (call for details)
We regret that we will be unable to accept payment by cheque on the day of removal.
All furniture, effects or other goods which I instruct to remove and/or store, I declare to be my own unemcumbered property or that I am authorised to enter into contract on behalf of the owner of the goods.
Please contact our office by telephone to accept your quote. Do not complete this form until you have a fixed moving date, otherwise you may be liable for a calcellation fee. Thank you.
Tick this box to confirm you agree to our terms and conditions