Service:

Service:

All goods carried subject to our Conditions of Carriage and under a limited liability for claims based on weight

Collected in Good Condition

Signature:

Print Name:

Weight in kilos:

No of items:

Description:

County:

Postcode:

Address 2:

Town:

Deliver to:

Address 1:

Despatch date:

Note No:

Account No:

Comment:

Postcode:

Town:

Address 1:

Sender:

Weight in kilos:

No of items:

Description:

County:

Postcode:

Address 2:

Town:

Deliver to:

Address 1:

Despatch date:

Note No:

Account No:

Comment:

Postcode:

Town:

Address 1:

Sender:

Sender:

Address 1:

Town:

Postcode:

Account No:

Note No:

Despatch date:

Deliver to:

Address 1:

Address 2:

Town:

County:

Postcode:

No of items:

Description:

Weight in kilos:

Received in Good Condition

Signature:

Print Name:

Time:

Delivery Date:

All goods carried subject to our Conditions of Carriage and under a limited liability for claims based on weight

Comment:

After inputting and before printing tick box:

Service: