Furniture transportation inquiry form

First Name:
Surname:
Company:
Telephone:
E-mail:
FAX:
When are you moving:
Size of flat/house/office:
Estimated insurance value:
Heavy goods:
Pick-up address:
Floor:
Particulars:
Drop-off address:
Floor:
Particulars:
Pack: self
 Wildenhofer

Unpack: self
 Wildenhofer

Dismantling: yes
 no

Assembly: yes
 no

Electrical technician: yes
 no

Installation technician: yes
 no