PAN Logistics

TRANSPORT SOLUTIONS

INTERSTATE BOOKING INFORMATION

To book your daily Interstate pick ups all we require is that you fill in our simple booking request form below. You will recieve an instant confirmation message that your booking request has been recieved.

If you do not receive a confirmation message after your booking request has been submitted we suggest calling our office on phone number + 613 8761 6516

Please Note: * Fields must be filled in for booking information to be processed.
Examples are noted in RED text.
Bookings must be made before 11.00am for same day pick up

ONLINE INTERSTATE BOOKING REQUEST

* Company Name:

* Company Address:

* Telephone Number:

* Fax Number:

* EMail Address:

* Contact Name:

If Pick Up Details Are As Above Please Tick Here

Shippers Name:

Shippers Address:

Shippers Phone:

Contact Name:

* Consignee's Name:

* Consignee's Address:

* Consignee's Phone:

* Contact Name:

* Pick Up Date & Times:

(eg. 14.06.2008) Ready @ (eg. 11.15am) Closing @ (eg. 5.30pm)

* State Quantities:

Please Make A Note Beside The Consignment Number If Any Pallet Exceeds 1000kg or 1.2m x 1.2m x 2.4m

NSW Pallets Consignment Number(s)

SA Pallets Consignment Number(s)

QLD Pallets Consignment Number(s)

WA Pallets Consignment Number(s)

NT Pallets Consignment Number(s)

TAS Cubic Consignment Number(s)

VIC Pallets Consignment Number(s)

ACT Pallets Consignment Number(s)

Other Details:

Top Load Only Fragile Urgent Hazardous

If Goods Are Hazardous We Require A Materials Saftey Data Sheet & Hazardous Declaration

Dangerous Goods:

Please Note Any Totals For Pick Up That Exceed 3000kg, Please Fill In Information Below

Product Name:

Class Number:

UN Number:

Packing Group:

Special Instructions:

Additional Information:

* For Booking Authenticity Please Answer The Following Question: Q. What Colour Is The Text In This Question?