Name *

First Name

Last Name

Phone

(###)

###

####

Date of Collection *

MM

DD

YYYY

Time of Collection

Hour

Minute

Second

AM PM

Vehicle

Small Van | Envelope up to 1 pallet, 350kg, 1m in height. Short Wheel Based Van | up to 2 pallets, 800kg, 1.2m in height. Long Wheel Based Van | up to 3 pallets, 1100kg, 1.7m in height. Extra Long Wheel Based Van up to 4 pallets, 1200kg, 1.7m in height.

Small Van

Short Wheel Based Van

Long Wheel Based Van

Extra Long Wheel Based Van

Service Required

Urgent Courier Service

Sameday Courier Service

Overnight Courier Service

Wait and Return Courier Service

Name *

First Name

Last Name