PICKUP DETAILS
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Business/Individuals Name we are collecting from
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Enter Address for the pickup location
Location Details
Phone Number
DELIVERY DETAILS
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Business/Individuals Name we are delivering to
*
Enter Address to delivery location
Location Details
Phone Number
WHEN DO YOU REQUIRE THE BOOKING?
Date Delivery Requested
ORDER DETAILS
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Number of Boxes / Items?
Package Weight/s (KG), per parcel is preferred
Package Dimensions (CM - Length x width x height), per parcel is preferred
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Description of Goods
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Does your pickup contain Foodstuffs or Food Containers?
No Foodstuffs or Food Packaging
Yes (Ambient)
Yes (Chilled Goods)
Yes (Frozen Goods)
Yes (Alcohol)
*
Does your consignment contain Dangerous Goods? If so, what class/s does your consignment contain?
No Dangerous Goods
Yes (Class 1.4) Explosives
Yes (Class 2.1) Flammable Gases
Yes (Class 2.2) Non Flammable Non Toxic Gases
Yes (Class 2.3) Toxic Gases
Yes (Class 3) Flammable Liquids
Yes (Class 4.1) Flammable Solids
Yes (Class 4.2) Spontaneously Combustable
Yes (Class 4.3) Dangerous when Wet
Yes (Class 5.1) Oxidizing Substances
Yes (Class 5.2) Organic Peroxides
Yes (Class 6.1) Toxic Substances
Yes (Class 6.2) Infectious Substances
Yes (Class 8) Corrosives
Yes (Class 9) Miscellaneous Substances
Notes:
YOUR DETAILS
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Your Name
Company (if applicable)
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Email Address
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Your Phone Number
BILLING INFORMATION
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Who are we charging for this consignment?
Charge Account (Pickup Address is Charged)
Charge Account (Delivery Address is Charged)
Prepaid Ticket/s (From Pickup Address)
Prepaid Ticket/s (From Delivery Address)
Cash on Pickup
Cash on Delivery
Third Party Payer
Third Party Invoicing - only complete if Third Party selected above
Thank you, your booking has now been lodged! You will recieve a confirmation email shortly with tracking details
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