REQUEST FORM
KINDLY COMPLETE THE FORM BELOW
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NAME
PHONE NUMBER *
EMAIL ADDRESS
STATE *
DELIVERY PICK UP ADDRESS (STATE) *
DELIVERY PICK UP CONTACT PERSON MOBILE NUMBER *
Mobile number of person we are collecting the parcel from
DELIVERY DROP OFF ADDRESS (STATE) *
DELIVERY DROP OFF RECIPIENT MOBILE NUMBER *
Mobile number of person we are sending the parcel to
WHAT ITEMS OR ITEMS ARE YOU SENDING *
Fill this accurately so we know the estimated size of your parcel
DROP OFF MODE *
Required
PICK UP DATE *
MM
/
DD
/
YYYY
PICK UP TIME *
Time
:
YOU WILL RECEIVE AN EMAIL INVOICE & A CONFIRMATION MESSAGE FROM 08099414375 SHORTLY
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