Delivery date:

Collection date:

Company:

Postcode:

Address:

Town:

Contact Person:

Your Details:

Fax:

Email:

Account number:

(optional)

Telephone:

Book a carriage forward/inward

Simply complete this form and fax to your local serving depot:

Barwell fax: 01455 841647   Derby fax: 01332 346171    Stalybridge fax: 0161 3048226

 Crowfoots staff only:

 

 

 Time of confirmation of collection to customer:

 

 

Collect from:

 

 

 Company:

 

 

 Postcode:

 

 

 Address:

 

 

 Town:

 

 

 Contact Person:

 

 

  Telephone:

 

 

 Description of items to collect:

 

 

 Deliver to: (carriage forward only)

 

 

 Member of staff who raised paperwork:

 

 

  Service:

 

 

Collection Ref:

 

 

Text Box: < Return to main page

 Company:

 

 

 Postcode:

 

 

 Address:

 

 

 Town:

 

 

 Contact Person:

 

 

  Telephone:

 

 

 Inward

 Forward