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  1. Company Name
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  2. Title
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  6. Contact Number(*)
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  7. Fax Number
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  8. Pick Up Details Address (inc. postcode) (*)
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  9. Lift
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  10. Property Size
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  11. Which Floor
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  12. Access Stairs
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  13. Parking
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  14. Delivery Details Address (inc. postcode) (*)
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  15. Lift
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  16. Property Size
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  17. Which Floor
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  18. Access Stairs
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  19. Parking
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  20. Date

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  21. Move time: (*)
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  22. Team details Man(*)
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  23. Team details Van(*)
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  24. List of items to be moved (*)
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  25. Extra Services
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  28. Boxes Required
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  29. Extra
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