Book A House Move

Book A Pickup

Please use this form if you require general freight pickup.
If you require a house shift or warehouse move click here.

General Freight Pickup

* - required

*Name:

*Billing Address:

(chars left: 200)

*Pickup Address:

(chars left: 200)

*Delivery Address:

(chars left: 200)

*Phone Number:

*Email Address:

Consignment Note
Number:

*Pickup Date:

/ /

Time Ready:

:	Please enter the time which the pickup will be ready

*Quantity:

Please specify the quantity

*Pickup Type:

Please select the Pickup Type

*Weight (kg) and m3:

(chars left: 100)

Tail Lift:

Yes

Do you require a tail lift?

Cheps Sent:

Cheps Collected:

DG Class:

UN Number:

Do you have any
dangerous goods?:

Yes

*Description:

(chars left: 1000)

Please provide a description of the goods requiring delivery