Please complete the form indicating your personal data:
Surname*:
Name*:
Telephone:*
Fax:
Email:*
Date of move:
Who bears the costs?
How do you wish to receive our offer?
Please provide us with information on the flat you are moving out of and on the flat you are moving in:
 
 
Living area in m²:
Floor:
What kind of building does it concern?
Is there an elevator in the building?
Is it possible to use an exterior lift?
Can it be approached by lorry?
Is stopping restricted in front of the building?
Must we set up a no stopping zone?
Distance (in metres) between street and building?
Street*:
House number*:
Post code*:
Place*:
What moving boxes are you going to use?
 
Moving from
 
Moving to
X