Dear Sir or Madam,
Please fill out this online form carefully. We will contact you as soon as possible after successful submission.

Fields marked with a * are mandatory.

General
Last name *
First Name *
Company
Address *
Phone *
Fax
Email *

Moving
Moving from (address including floor) *
Elevator available?	Yes No
Moving to (address including floor) *
Elevator available?	Yes No

Please indicate packing services required:
Glass / Dishes?	Yes No
Complete	Yes No

Do you need moving boxes?
For laundry or dishes	Yes No
Your own boxes (quantity)
Boxes for books	Yes No
My own boxes (quantity)
Boxes for clothing (For hanging clothing articles) On board the truck only	Yes No
My own boxes (quantity)

Will a no parking zone have to be set up?
Loading point	Yes No
Unloading point	Yes No

Living room
Quantity	Object	Unit of cost
	Sofa, couch, number of seats	4
	Seating area, number of seats	4
	Easy chair, with armrests	8
	Easy chair, without armrests	4
	Chair	2
	Chair, with armrests	3
	Table, up to 0.6 m	4
	Table, up to 1.0 m	5
	Table, up to 1.2 m	8
	Table, over 1.2 m	8
	Living room cabinet, can be dismantled, per commenced meter	8
	Modular wall unit, up to 38 cm in depth, per commenced meter	8
	Modular wall unit, more than 38 cm in depth, per commenced meter	10
	Bookshelf, can be dismantled, per commenced meter	4
	Buffet, with top	18
	Grandfather clock	4
	Desk, up to 1.6 m	12
	Desk, over 1.6 m	17
	Secretary	12
	Sideboard	12
	Music cabinet / Tower	4
	Hi-fi system	4
	Video recorder / Receiver / DVD	1
	TV set	3
	Piano	15
	Grand piano	20
	Organ	10
	Sewing machine (cabinet)	4
	Floor lamp	2
	Pictures, over 0.8 m in size	2
	Ceiling lamp	2
	Chandelier	5
	Carpet	3
	Jumper rug	1
	Moving box up to 80 L capacity	1
	Moving box over 80 L capacity	1,5

Dining room
Quantity	Object	Unit of cost
	Chair	2
	Chair, with armrests	3
	Corner bench, per seat	2
	Table, up to 0.6 m	4
	Floor lamp	2
	Table, up to 1.2 m	6
	Table, over 1.2 m	8
	Buffet, without top	15
	Showcase (glass cabinet)	10
	Sideboard	12
	Liquor cabinet	5
	Tea wagon, cannot be dismantled	4
	Carpet	3
	Jumper rug	1
	Ceiling lamp	2
	Moving box up to 80 L capacity	1
	Moving box over 80 L capacity	1,5

Bedroom
Quantity	Object	Unit of cost
	Cabinet, up to 2 doors, cannot be dismantled	15
	Cabinet, can be dismantled, per commenced meter	8
	Double bed, complete	20
	Single bed, complete	10
	French bed, complete	15
	Bedding, per bed unit	3
	Nightstand + lamps	3
	Bed reconstruction	3
	Chest of drawers	7
	Vanity, with mirror	6
	Linen chest	3
	Chair, stool	2
	Mirror, over 0.8 m	1
	TV set	3
	Ceiling lamp	2
	Clothing boxes on board moving van only!	6
	Moving box up to 80 L capacity	1
	Moving box over 80 L capacity	1,5

Study / Den
Quantity	Object	Unit of cost
	Desk, up to 1.6 m	12
	Desk, over 1.6 m	17
	Desk chair	3
	Bookcase, can be dismantled, per commenced meter	4
	Filing cabinet, per started meters	8
	Floor lamp	2
	Easy chair without armrests	4
	Easy chair with armrests	8
	Table, up to 0.6 m	6
	Countertop, continuous, per commenced meter	1
	Ceiling lamp	2
	Carpet	3
	PC, complete system	5

Nursery / Studio
Quantity	Object	Unit of cost
	Cabinet, up to 2 doors, cannot be dismantled	15
	Cabinet, can be dismantled, per commenced meter	8
	Bed, complete	10
	Crib, complete	5
	Bunk bed, complete	16
	Bedding, per bed unit	3
	Nightstand	2
	Chest of drawers	7
	Bureau	7
	TV set	3
	Video recorder / Receiver / DVD	1
	Toy chest	4
	Table, up to 0.6 m	4
	Table, up to 1.0 m	5
	Table, up to 1.2 m	8
	Table, over 1,2 m	8
	Playpen	1
	Chair / Stool	2
	Carpet	3
	Jumper rug	1
	Modular wall unit, up to 38 cm in depth, per commenced meter	8
	Modular wall unit, more than 38 cm in depth, per commenced meter	10
	Ceiling lamp	2

Kitchen
Quantity	Object	Unit of cost
	Buffet, with top(s)	18
	Lower section, per door	4
	Countertop, continuous, per commenced meter	1
	Top, per door	4
	Table, up to 0.6 m	4
	Table, up to 1.0 m	5
	Table, up to 1.2 m	6
	Table, over 1.2 m	8
	Chair	2
	Corner bench, per seat	2
	Broom closet	6
	Microwave	2
	Stove	5
	Dishwasher	5
	Washer / Dryer	5
	Refrigerator / Freezer, up to 120 L	5
	Refrigerator / Freezer, more than 120 L	10

Foyer / Bathroom
Quantity	Object	Unit of cost
	Chair / Stool	2
	Chest / Chest of drawers	7
	Hat or coat rack	2
	Bathroom cabinet	2
	Ceiling lamp	2
	Carpet	3

Basement / Attic / Backyard
Quantity	Object	Unit of cost
	Shelving, can be dismantled, per commenced meter	4
	Gardening tools	2
	Barbecue	4
	Garbage can	2
	Bicycle / Moped	5
	Tricycle / Child's bicycle	2
	Ironing board	1
	Vacuum cleaner	1
	Car tire	1
	Suitcase	1
	Folding Table / Folding Chair	2
	Baby carriage	5
	Ladder, per commenced meter	1
	Lawn mower, hand operated	2
	Lawn mower, power	5
	Wheelbarrow	4
	Workbench, can be dismantled	4

Other
Quantity	Object	Unit of cost

Is assembly or installation required?
Living room:	Yes No
Study / Den:	Yes No
Bedroom(s):	Yes No
Dining room:	Yes No
Nursery:	Yes No
Kitchen:	Yes No
Other:	Yes No