I confirm that the goods are my own unencumbered possessions or I am authorised to enter into this Contract
on behalf of the owner of the goods. I have read and retained a copy of the quotation to which I agree. If I
request Insurance cover, have read and retained a copy of the Details of Insurance Cover to which I agree
and, to the best of my knowledge and belief, the values as stated represent the current market value of the
whole of my goods being removed / stored.