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Leicester Couriers

 

 

 

 

 

 

 

 

 

 

 

 

 

SAMEDAY COURIER ONLINE BOOKING


CUSTOMER DETAILS

Company Name: Account No:
First Name: * Last Name: *
Purchase Order No: Department:
       
Address Line 1: * Address Line 2:
Town: * City: *
Postcode: * Country: *
Telephone: * E-mail: *
       
 
Is collection address same as customer address
If not, please complete the collection address below.
 
COLLECTION DETAILS
Contact Name: * Department:
Address Line 1: Address Line 2:
Town: City:
Postcode: Country:
Telephone: E-mail:
       
Collect ASAP:    
Collection Time:
Collection Date:

 

DELIVERY DETAILS
Name: * Department:
Address Line 1: * Address Line 2:
Town: * City: *
Postcode: * Country: *
Telephone: * E-mail:
       
Deliver ASAP:    
Delivery Time:  
Delivery Date:

 

JOB DETAILS
Vehicle required: *
Item Type: *
Dimensions (cm): Length Width Height
Total Weight (KG): *    
Declared Value £: *


Description : *

Special Instructions:

 

 


I confirm that the information given above is accurate and that the shipment does not contain any prohibited items.

I have read and agree to the Terms Of Service.

 
* = Required Field

 

 

 

 

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