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

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)

Terms and Conditions

We want you to know how our service works and why and how we handle your data. Please state that you have read and agreed to these terms and conditions.

I Agree to 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.
PostEmailTelephoneSMS

For Security Purposes please enter the following letters and numbers in to the field below.
captcha

By using this form you agree with the storage and handling of your data by this website.

Read Our Customer Reviews!