Please fill in all of the fields below. You will receive a telephone call to confirm this request.

Pick-up Address
Destination Address

Confirmation

By clicking ‘Submit’ I agree that all of the information contained in this form is accurate and complete to the best of my knowledge. I understand that any wrong addresses or refused/returned deliveries are subject to a fee equal to that of the original charge of carriage unless I notify Gill Courier in writing within 15 minutes of submitting the original request. I understand that not all delivery requests can be accommodated and I will be notified by telephone if Gill Courier is unable to accommodate this request. I agree that if the goods which are to be delivered are classified as ‘Dangerous Goods’ that I have noted it above.