Parcel Collection Request Form

 

   Only use this form if you have paid. 

 
Email Address used for payment in Paypal
Payment Ref    Paypal Receipt ID:

Amount Paid

Additional Information & Comments
 Parcel Collection Details
Collection Date You can select up to five days in advance (excluding weekends and public holidays).
Collection Company Name
Collection Address
Country Name  
Collection Post Code
Collection Contact Name
Collection Contact Email  As above
Collection Contact Telephone Number
Number of Parcels
 Parcel Delivery Details                              * Please complete all Delivery Details
  Delivery Parcel 1  
Weight in Kg. Volumetric Weight : kg.
Dimension
( L x W x H ) in Cm.
x x Volume over 4 cu ft or 0.1 m3 will be charged based on volumetric weight Surcharge L :  W : H :  
Total Dimension Surcharge :
Parcel Contents*  
Delivery Contact Phone**  
Delivery Post-Code***
Delivery Person Name  
Delivery in Country  
Delivery Person Email  
Delivery Address Delivery Parcel 1 Total Amount :

                                                                                                               

   Chargeable weight is higher of actual weight or Volumetric Weight: Please pay accordingly. 

*    Requirement of Security Regulations. 

**   Required in case of failed delivery to rearrange a delivery time.

***  No collection will be made without a delivery post code.

     Paysend maximum liability for loss or damage to a parcel is 100. Extended Liability is available at 5.00 per additional 100.00