Direct Couriers

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> ONLINE INBOUND/RETURN FREIGHT BOOKING FORM (Interstate Only)

* required fields

BOOKING INFO

Pick Up Date *

NOTE:
Bookings before 1.00pm incur a $15 pick up fee.
Bookings after 1.00pm incur a $45 pick up fee.

Time Ready *

Account No. *

Account Name *

Name of
Person Booking *

Telephone *

Email *

SERVICE REQUIRED *

	Same Day Air Freight		Priority Overnight Express		Overnight Express		Road Freight
	Local Elite		Local Express		Local Regular

PICK UP ADDRESS

Company *

Street Address *

Suburb *

Postcode *

Contact at Pick Up *

Telephone *

Special Instructions

DESCRIPTION OF GOODS

What are we
picking up?

Reference

No. of Items *

Weight

Dimensions

(L) x (W) x (H)

PLEASE NOTE

There is no insurance cover on any goods.
If we are picking up a laptop, mobile phone or anything of this nature, please ensure the item is discreetly packaged as insurance is not included.

DELIVERY ADDRESS

Company *

Street Address *

Suburb *

Postcode *

Contact at Delivery *

Telephone *

Special Instructions

CUSTOMER DECLARATION *

I CERTIFY THAT THIS CONSIGNMENT DOES NOT CONTAIN DANGEROUS GOODS. I HAVE READ AND AGREE TO TRADE UNDER THE TERMS AND CONDITIONS OF ALL DIRECT COURIER COMPANIES.