Keen Man and Small Van Hire removal service

Name, Date & Time

Name*

Phone*

Email*

Preffered Date*

Preffered Time*

Pick Up Address*

Pick Up Address Stairs/Lift*

SELECT PARKING OPTION*

Drop off Address*

Droff Off Address Stairs/Lift*

SELECT PARKING OPTION*

ANY ADDRESS INSIDE ANY OF THESE ZONE?

ULEZ - Londons Ultra Low Emision Zone*

ULEZ - Yes

ULEZ - No

CC ZONE - Congestion Zone*

CC - Yes

CC - No

DRIVERS Special Instruction (If Any)

Select Service*

Van Size*

Select Hours Needed*

Insurances*

How many passengers will travel inside the van?*

Inventory*

Booking Total

OVERTIME:

£35 Per half hours until job is completed

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Phone

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