Questionnaire for moving

Personal information - / Information of the company

Family name/Name of the Company:

Name (s):

Private telephone :

Work Telephone:

Movil:

E-mail:

Original address

Street:

Floor:

Elevator:

No Yes

Postal Cod.:

City:

Country:

Type of house:

House Apartment Semi detached house

Size of house:

New address  

Street:

Apartment:

Elevator:

No Yes

Postal Cod. :

City:

Country:
 

Distance to the  parking, abt.

0-5 meters 5-20 meters 20-50 meters Mere end 50 meters

Information of the moving shipment

Choose the best definition:

Moving all content of the house most moving boxes and few furniture Only moving boxes (no furniture)

Packing service is desired:

Packing service is desired No packing service

Storage service is desired:

Storage is not desired Storage is desired

Date wished for the moving

Packing date:

Delivering date:

Additional information