Name
Requested date for removal and / or storage services
Collection Address
Phone
Delivery Address
Email
Please tick where appropriate and also note that declining insurance confirms that Irish Removals are not liable for transit damage sustained.
All Risks transit insurance provided by Irish RemovalsTotal Loss transit insurance provided by Irish RemovalsNo, I will arrange my own insurance/ I do not request insurance
Important 1. The total value of your goods is always required whether transit insurance is or is not purchased. 2. This insurance covers household goods and personal effects being moved and/or stored. 3. Intermediate storage, other than that at Irish Removals designated warehouse, is covered only when temporarily stored in the course of transit. 4. Storage in a warehouse at destination is not insured unless cover is requested, agreed by Underwriters and premium paid to Irish Removals. 5. Please refer to our Summary of Insurance Cover for your guidance and details of Excluded Goods
Total Value (as detailed on the attached Value Form)
Payment must be made in advance of the removal date or on agreement by us, prior to delivery. Please invoice me at the following address:
Address
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.
Signature
Please note that submission of the completed booking form does not confirm your requested date. A staff member will confirm your booking by phone/ email