Enquiry- Details. * required information. 1. Customer Details: 2. Adress Details - Origin. additional unloading adress: additional loading adress:

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1 Enquiry- Details * required information. Customer Details: first name:* last name:* phone home:* phone work: fax:. Adress Details - Origin Destination street / house no.:* street / house no.:* postal code / town:* postal code / town:* floor / storey no.: floor / storey no.: additional loading adress: additional unloading adress: street / house no.: street / house no.: phone: distance (km):. Location Details. Packing Details Origin yes Destination no yes Hours Packing no packing by customer narrow stairway complete packing provided lift available packing glas / tableware provided Unpacking large lift inclined lift necessary unpacking by customer arrange parking zone complete unpacking provided dist. to house >m m m unpacking glas / tableware provided. Assemblies Room (dis-)assembly by customer: Assembly completely Specials Origin Specials Destination partially. Additional Information / Peculiarity: Hours

2 . Packing Material: carton, books carton, dishes/ glasses carton (clothes) wrapping paper tableware wrapping tissue paper covers rayon staple tape wrapping paper (glasses) carton, lamps carton, / sofa covers armchair/ sofa cover bed sack mattress covers bubble wrap paper. Scheduled Appointments Date Time Date packing material delivery Time unloading unpacking packing craftsmen loading craftsmen 9. Insurance approx. inventory value: ca. Euro 0. Inventory List Explanations: : U=Units P/ No=parts/ number D=disassembly A=assembly SP=special packing =sum units, itemized in this list refer to the usual furniture sizes and are binding- flat values. unit= 0.m³ Item U P/ No D A SP Info Item U extended wall per mtr. sideboard, per mtr. buffet buffet buffet with top part buffet with top part grand piano 0, small hi-fi / TV storage rack hi-fi system etc. piano D A DINING ROOM LIVING ROOM sofa/ armchair per seat P/ No / dresser book per mtr. dresser small not dis. per mtr. SP Info

3 , klein not dis. per mtr., groß wall Shelf / box etc. cupboard per mtr. cupboard per mtr. 0 cupboard (no disassembly possible) 0 sideboard sideboard over 0,mtr. rack per mtr. chair, stool, etc. carpet, rug, etc. table, up to 0. mtr. table, up to mtr. table, up to.mtr. TV plasma TV tube grandfathers clock glass cabinet, hanging glass cabinet, large 0, over 0.mtr. rack per mtr. tea- trolley carpet, rug etc. table, up to 0.mtr. table, up to mtr. table, up to.mtr. wooden chest grandfathers clock glass cabinet, hanging 0 glass cabinet, large glass cabinet, middle chandelier 0 0 glass cabinet, middle 0 0 carton, up to 0ltr., books carton, up to 0ltr. carton, up to 0ltr., books carton, up to 0ltr. carton, over 0ltr., glasses. carton, over 0ltr., glasses. carton, over 0ltr.. carton, over 0ltr.. BEDROOM STUDY ROOM double bed 0 water bed, double 0 single bed 0 french bed etc. book per mtr. Shelf, dis., per mtr., dis., per mtr. standard wall bedside table / box etc. cupboard per mtr. cupboard 0 cupboard / box etc. bedding, per unit / s, large, small,

4 writing desk etc. desk, small desk, combination cupboard, folding doors, per mtr. desk, standard cupboard, sliding doors, drawer unit desk chair, over 0.mtr. table, up to 0.mtr. table, up to mtr. table, up to.mtr. glass cabinet, hanging glass cabinet, large per mtr. 0 shoe cupboard, over 0.mtr. chair, stool, etc. valet carpet, rug etc. table etc. wooden chest TV plasma TV tube laundry basket 0 carton, clothes carton, up to 0ltr., books 0 glass cabinet, middle 0 carton, up to 0ltr., books carton, up to 0ltr. carton, over 0ltr., glasses. carton, over 0ltr.. BEDROOM CHILD carton, over 0ltr., Wäsche. carton, over 0ltr.. BEDROOM CHILD single bed 0 bunk bed single bed 0 children's bed bunk bed sofa/ armchair, per seat children's bed sofa/ armchair, per seat bedside table bedside table TV TV 0 writing desk 0 desk, small writing desk desk, small table, up to 0.mtr. table, up to mtr. table, up to 0.mtr. table, up to mtr. carton, clothes carton, up to 0 ltr., books carton, clothes carton, over 0 ltr. carton, up to 0 ltr.,. books

5 KITCHEN buffet buffet with top part extractor fan carton, over 0 ltr.. CELLAR/ TERRACE/ GARAGE car tyres, set tricycle/ child's bicycle bicycle/ motorbike sunlounger fitted kitchen, L-shape, per mtr. garden chair fitted kitchen, top, per mtr. garden table grill pram/ baby carriage fitted kitchen, U- shape, per mtr. fitted kitchen, bottom parts, per mtr. suitcase/ travelling bag fitted kitchen, cupboard, per mtr. etc. ladder/ stepladder chimney dishwasher lawn mower cooker etc. chest o f drawers microwave ski (pair) sunshade etc. freezer, up to 0ltr. upboard, high. Per door freezer, over to 0ltr. cupboard, top, per door tumble dryer cupboard, bottom, per door washing machine workbench, dis. sink (90/00 cm) tool table, up to 0.mtr. carton, up to 0ltr. table, up to mtr. carton, over 0 ltr.. table, up to.mtr. volume blank- list freezer, up to 0ltr. freezer, over 0ltr. 0 carton, packed. tumble dryer 0 washing machine carton, up to 0ltr. carton, over 0ltr., glasses. carton, over 0ltr.. HALL/ BATHROOM hall- stand coat stand 0 GENERAL INFORMATION 0 carton, up to 0ltr., books 0

6 hall hat- stand / cupboard, large etc. 0 shoe cupboard cabinet, 0V tumble dryer washing machine carton, up to 0ltr. carton, over 0 ltr.. total sum: Unit = m³ If you have entered additional inventory under general Information these units are not yet included in the total of units, sum and volume and have yet to be added to the total.

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