Personal details: First name:* Surname: * Name of company: Street: * Postcode: * City: * Telephone: * Fax: E-mail: * Date of remover: Removal - from: Street: Postcode: City: Coutry: Removal - where: Street: Postcode: City: Country: Additional information: Is there a lift in the building? Yes No Floor: No. of rooms: Measurement: Car park? Yes No Non-standard (e.g. piano, antiques, and the like): Here I agree on processing personal data located in the inference, by Moving Express, in the field connected with guidance and realization of mediation in information interchanging. Coincidentally, I state that I am conscious of giving my data voluntary and that I was informed about the rights to have a look in my data and about the possibility to correct it.
