Consignment Note

Please complete ALL details IN FULL. We require full names and full street addresses please

SENDER Full Name

Street Address

Street Address Extra

Origin Post Code

Sender Mobile Phone

RECEIVER Full Name

Street Address

Street Address Extra

Destination Post Code

Receiver Mobile Phone

DANGEROUS GOODS DECLARATION

I hereby confirm this shipment does NOT contain any Dangerous Goods for Carriage including Batteries of any kind, Flammable Liquids, Flammable Gases or Aerosols of any kind.

Print Name

Senders Signature

ATTACH PHOTO ID here (Passport Photo Page OR Australian only Drivers Licence)