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About you

Name*

Surname*

Phone number*

Email address*

Departure address

Street and number

Post code and city

Country

Arrival address

Street and number

Post code and city

Country

Additional information

Desired date of the moving

Flexibility on the date

Flat/house

FlatHouse

Lift

NoYes

Number of square meters

Parking (describe precisely the kind)

Remarks/further information on the new address

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