Parcel Collection Form

Personal Details

Your First name *

Your Last name *

Your Email *

Confirm Email *

Phone number *

Confirm phone number *

Your country *

Shipping Details

Are you shipping for someone? *

Yes No

Person's Information

First name *

Surname *

Phone number *

Enter phone number without country code

Confirm phone *

Re-enter phone number without country code

Address *

Post code *

Please confirm that you have entered a valid Post Code, To make sure your parcel is sent to the right address.

Country *

Parcel Details

State the item in the package *

Package Type *

Packaging Type *

Weight of the item

Quantity of package

Parcel collection/Pick up date for shipping *

Collection Details

Do you require the parcel to be collected for shipping/country the parcel is shipping to? *

Yes No

Parcel collection address *

Post Code *

Please confirm that you have entered a valid Post Code, To make sure your parcel is sent to the right address.

Parcel collection city *

Parcel collection landmark *

Parcel custodian email *

Parcel custodian name *

Parcel custodian phone number *

Confirm custodian phone number *

Preferred collection date *

Preferred collection time *

Parcel delivery and country destination

The details of the person collecting the parcel in another country

Country the parcel is shipping to *

Collection person state *

Collection person city *

Collection person House Address *

Collection person address Landmark *

Collection person email address *

Collection person phone number *

Confirm collection person phone number *

Collection date *

Collection time *

Note