Pickup Address
What are we Picking Up?
Does the Shipment Includes any Dangerous Goods?YesNo
Destination Address
Leave Package without SignatureYesNo
Consignee Name
Special Instructions

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 Ltd. 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 Ltd. 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.

I agree that I have read and understood the Terms of Carriage above and wish to proceed with this delivery request.