INQUIRE / ORDER FORM

1. Orderer
Name:
Phone number:
E-mail address:
2. Information about removal
Removal:
Are cartons needed?

Yes No

Removal date
Detailed description of transported goods

Atypical & non-standard goods, difficulties (goods with weight over 70 kg)

3. From?
Place:
Address:
Post code:
Floor:
Is lift available?

Yes No

Is driveway to door?

Yes No

4. Destination?
Place:
Address:
Post code:
Floor:
Is lift available? Yes No
Is driveway to door? Yes No

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