Contact Details

First Name: *

Last Name: *

Phone:

Mobile: *

Email Address: *

Additional Information

Desired Move-Out Date: *

Desired Move-In Date: *

Alternate Billing Address:

Who Will Cover the Moving Costs?:
– Please select –PrivateEmployerJobcenterOther Authorities

Pickup Address

Street / House Number: *

ZIP / City: *

Setup no-parking zone at pickup address

Distance to Truck:
– Please select –1–10 m10–20 m20–50 m50–100 m100+ m

Floor:
– Please select –BasementGround FloorMezzanine1st Floor2nd Floor3rd Floor4th Floor5th Floor6+ Floors

Elevator available (Pickup Address)

Number of Rooms (Pickup):
– Please select –1 Room1.5 Rooms2 Rooms2.5 Rooms3 Rooms3.5 Rooms4 Rooms4.5 Rooms5 Rooms5.5 Rooms6+ Rooms

Area (m²):

Number of Occupants:

Furniture disassembly desired (Pickup)

Packing service desired (Pickup)

Notes regarding Pickup Address:

Delivery Address

Street / House Number: *

ZIP / City: *

Setup no-parking zone at delivery address

Distance to Truck:
– Please select –1–10 m10–20 m20–50 m50–100 m100+ m

Floor:
– Please select –BasementGround FloorMezzanine1st Floor2nd Floor3rd Floor4th Floor5th Floor6+ Floors

Elevator available (Delivery Address)

Number of Rooms (Delivery):
– Please select –1 Room1.5 Rooms2 Rooms2.5 Rooms3 Rooms3.5 Rooms4 Rooms4.5 Rooms5 Rooms5.5 Rooms6+ Rooms

Area (m²):

Furniture disassembly desired (Delivery)

Packing service desired (Delivery)

Notes regarding Delivery Address:

Description of Items to be Moved:

Additional Details and Message:

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