Removal Acceptance Form – OLD

Your Name (required)

Quote Ref (required)

Your Removal Date

Terms and Conditions

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)

Type YES that you have received and accepted our Terms and Conditions and also that the goods are your own unencumbered possessions, or that you are authorised to enter in to this contract on behalf of the owner of the goods (required)

Click Here to View 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.
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