Step 1 of 3

Your personal details

[text* firstname id:firstname]
[text* lastname id:lastname]
[tel* telephone id:telephone]
[tel* mobilenumber id:mobilenumber]
[email* emailaddress id:emailaddress]


Step 2 of 3

Moving From

 

Moving To

 

Property Size

[text* fromaddress1 id:fromaddress1]
[text* fromaddress2 id:fromaddress2]
[text* fromtown id:fromtown]
[text* frompostcode id:frompostcode]
[select* fromfloorlevel id:fromfloorlevel "Not Applicable" "Basement" "Ground floor" "1st floor" "2nd floor" "3rd floor" "4th floor" "5th floor" "6th floor" "7th floor" "8th floor" "9th floor" "10th floor" "11th floor" "12th floor" "13th floor" "14th floor" "15th floor" "16th floor" "17th floor" "18th floor" "19th floor" "20th floor" "21st floor" "22nd floor" "23rd floor" "24th floor" "25th floor" "26th floor" "27th floor" "28th floor" "29th floor" "30th floor"]
[radio fromelevator id:fromelevator "Yes" "No"]

Moving To

[text* toaddress1 id:toaddress1]
[text* toaddress2 id:toaddress2]
[text* totown id:totown]
[text* topostcode id:topostcode]
[select* tofloorlevel id:tofloorlevel "Not Applicable" "Basement" "Ground floor" "1st floor" "2nd floor" "3rd floor" "4th floor" "5th floor" "6th floor" "7th floor" "8th floor" "9th floor" "10th floor" "11th floor" "12th floor" "13th floor" "14th floor" "15th floor" "16th floor" "17th floor" "18th floor" "19th floor" "20th floor" "21st floor" "22nd floor" "23rd floor" "24th floor" "25th floor" "26th floor" "27th floor" "28th floor" "29th floor" "30th floor"]
[radio toelevator id:toelevator "Yes" "No"]

Property Size

[select* cubicfeet id:cubicfeet "Please select" "Bed sit/small - 1 bed flat - 500" "1-2 bed house - 750" "3 bed house - 1000" "4 bed house - 1500" "5 bed house - 2000"]
OR


Volume calculator

Select a room to creat a list of your homes contents
Loft
Bedrooms
Nursery
Study
Living Room
Dining Room
Kitchen
Outside Storage
 
[select house-spaces id:house-spaces "Please select" "Living Room" "Dining Room" "Kitchen" "Outside Storage" "Bedrooms" "Nursery" "Study" "Loft"]
 


Step 3 of 3

Packing Requirements

 

Date & time

 

Feedback

This field is required
[select* packingrequirements id:packingrequirements "Please select" "No packing" "Packing Material" "Partial Packing Service" "Full Packing Service" "Unsure"]
[radio packingstoragerequired id:packingstoragerequired "Yes" "No"]

Date & time

[text* movedate id:movedate]
[text* movetime id:movetime]

Feedback

[select* enquirysource id:enquirysource "Please select" "Really Moving" "Get a mover" "Saw Van" "Recommended" "Other" "Thomsons Book" "Google" "Move me"]
[textarea* otherinfo id:otherinfo]


[submit "Submit"]