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  *Name:
  *Tel:
  Mob:
  *Email:
  MOVING FROM:
  *Address:
  *Town:
  *Postcode:
  *Type of building (e.g flat, house, bungalow):
  If flat what floor is it on?:
  If flat is there a lift available?:  Yes
 No
  *Number of bedrooms:
  MOVING TO:
  *Address:
  *Town:
  *Postcode:
  *Type of building (e.g flat, house, bungalow):
  If flat what floor is it on?:
  If flat is there a lift?:  Yes
 No
  MOVING DESCRIPTION:
  *Storage needed?:  Yes
 No
  *Anticipated moving date:
  Additional info (i.e list of items, furniture etc):
  Where did you hear about us?:
  If other please state:

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