Booking Confirmation

Removal Booking Confirmation

Please complete the form below, on the required fields if you do not have the information simply place an “x” in the field.

Please download and retain a copy of our Terms and Conditions

    Quote Ref (required)

    Your Name (required)

    Your Email (required)

    Collection Address 1

    Collection Address 2

    Collection Town/City

    Collection County

    Collection Country

    Collection Post Code

    Collection Date

    Collection contact

    Collection Telephone (required)

    Collection Mobile (required)

    Collection Access

    Packing Service Required?

    Delivery Address 1

    Delivery Address 2

    Delivery Town/City

    Delivery County

    Delivery Post Code

    Delivery Country

    Delivery Date

    Delivery Contact

    Delivery Telephone

    Delivery Mobile (required)

    Delivery Access

    Items to be Shipped

    Additional Information

    Number of Items

    Price Quoted

    Payment Method

    Terms and Conditions

    Insurance Declaration. You must type "YES" to agree to declare to us, in writing, the value of the goods being removed and/or being stored prior to removal date, failing to do this will reduce your insurance cover* (required)

    Type YES that you have received and accepted our Terms and Conditions and also that the goods are your own unencumbered possessions, or that you are authorised to enter in to this contract on behalf of the owner of the goods (required)

    Click Here to View the Terms and Conditions

    Contact Permission

    Occasionally we would like to newsletters and offers and the latest info from Exclusive Removals Limited by Email, post, SMS and other electronic means. We take your privacy very seriously and will only use your personal infomrmation to administer your account and to provide the services you have requested from us. If you consent to us contacting you for this purpose please tick to say how you would like us to contact you.

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