Acceptance of Removal Quotation Your Name* Your Email* Your telephone number* Removal From* Contact number* Removal To* Contact number* Date of move* 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.* Agree I agree to make payment by (please note that Cheques are payable to Storeys Removals Ltd, and are payable 7 days prior to removal, Cash needs to be paid at our offices 3 days prior to removal & bank transfers (you will need to contact us for bank details) This can also be by payment directly from your solicitor on the day of your removal by prior arrangement. We regret that we will be unable to accept payment by cheque on the day of removal.* ---ChequeCashBank TransferVia Your SolicitorDebit/Credit Card We regret that we will not be able to accept payment by Cheque on the day of removal. All furniture, effects or other goods which I instruct you to remove and/or store, I declare to be my own unencumbered property or that I am authorised to enter into contract on behalf of the owner of the goods. Please note that for any effects placed in our storage, storage insurance is charged at £0.25 per £1000 cover per week based on declared value of goods (inclusive of 12% IPT) I require Storeys Removals Insurance: YesNo By selecting YES, I accept the Removals Insurance offered at 10% of my removal cost cover whilst in storage charged at 25p per £1000.00 of declared value of goods (inclusive of 12% IPT Tax). The full value of my goods to be moved is £ (if insurance is not required please enter '0')—and I understand that if this exceeds £75,000.00 a new insurance quotation will be submitted. By selecting NO, this means that I do not require the Removals Insurance offered and that I warrant that I hold all risks insurance for the full value of my goods Please read our Terms & Conditions and accept them by checking the box* Agree E-signed (Type Full Name)* Contact address and contact number if goods in storage Please contact our office by telephone to accept your quote. Do not complete and return this form until you have a fixed moving date, otherwise you may be liable for a cancellation fee. Thank you.