Please Note : This
is an online consignment form. This form is
not to be used for bookings. Only fill this
form in after you have completed a booking
request if applicable.
* Create Connote
* Connote Reference Pickup Details: * Company Name* Pickup Address
* Contact Name* Contact PhoneDelivery Details: * Company Name* Delivery Address
* Contact Name* Contact PhoneGoods Description: * Description 1
--Select-- Pallet(s) Skid(s) Carton(s) Cage(s) Oversize Pallet(s) Other(s) x x x
x Description 2 --Select-- Pallet(s) Skid(s) Carton(s) Cage(s) Oversize Pallet(s) Other(s) x x x
x Description 3 --Select-- Pallet(s) Skid(s) Carton(s) Cage(s) Oversize Pallet(s) Other(s) x x x
x Description 4 --Select-- Pallet(s) Skid(s) Carton(s) Cage(s) Oversize Pallet(s) Other(s) x x x
x Description 5 --Select-- Pallet(s) Skid(s) Carton(s) Cage(s) Oversize Pallet(s) Other(s) x x x
x Time Details: * Consignment Date
Other Details: Additional Services
--Select--
Hand Load
Hand Unload
Tailgate Load
Tailgate Unload
Hand Load / Hand Unload
Tailgate Load /
Hand Unload
Tailgate Load /
Tailgate Unload
Express Delivery
Temperature Control --Select--
Refrigerated
Frozen
Temperature Service --Select--
-18 Celsius
-17 Celsius
-16 Celsius
-15 Celsius
-14 Celsius
-13 Celsius
-12 Celsius
-11 Celsius
-10 Celsius
-9 Celsius
-8 Celsius
-7 Celsius
-6 Celsius
-5 Celsius
-4 Celsius
-3 Celsius
-2 Celsius
-1 Celsius
0 Celsius
1 Celsius
2 Celsius
3 Celsius
4 Celsius
5 Celsius
6 Celsius
7 Celsius
8 Celsius
9 Celsius
10 Celsius
11 Celsius
12 Celsius
13 Celsius
14 Celsius
15 Celsius
16 Celsius
17 Celsius
18 Celsius Dangerous Goods --Select--
Yes
No
Dangerous Goods Class --Select--
Class 1.0 - Explosives
Class 2.1 -
Flammable Gases
Class
2.2 - Non-Flammable, Non-Toxic Gases
Class 2.3 - Toxic Gases
Class 3.0 -
Flammable Liquids
Class 4.1 -
Flammable Solids
Class 4.2
- Spontaneously Combustible
Class 4.3 -
Dangerous When Wet
Class 5.1 -
Oxidising Substances
Class 5.2 -
Oxidising Substances
Class 6.1 - Toxic
Substances
Class 6.2 -
Infectious Substances
Class 7.0 -
Radioactive Materials
Class 8.0 -
Corrosive Substances
Class 9.0 -
Miscellaneous
Class
9.0 - Environmentally Hazardous Substances
Class 9.0 - Mixed Class
Additional Instructions
What is
plus ?
Unsubmitted
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