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COLLECTION REF NO
DATE
TIME
QTY
DESCRIPTION OF CONTENTS AND PACKAGING
L
x B x H cm
MASS kg
FROM:
ADDRESS:
TEL:
SENDER’S REFERENCE:
SEE STANDARD CONDITIONS OF CONTRACT OVERLEAF
TARIFF SUBJECT TO CHANGE WITHOUT NOTICE
WAYBILL NUMBER
R
R
( COLLECT ON BEHALF
OF SENDER)
C . O . D .
CASH/CHEQUE
3RD PARTYRECEIVERSENDER
PLEASE
DELIVER
HOLD FOR
COLLECTION
SERVICE
REQUIRED
PREPAID ONLY
WHO IS PAYING?
ACCOUNT NUMBER
3RD PARTY NAME
VEHICLE REGISTRATION NO.
TF-GHV EMPLOYEE NAME
TF-GHV EMPLOYEE SIGNATURE
SIGNATURE AND ACCEPTANCE OF
STANDARD CONDITIONS OF CONTRACT
I/we hereby acknowledge that I/we have read and understood the
terms and conditions on the reverse hereof and accept that all goods
are carried subject to the normal terms and conditions of carriage
with which I/we acknowledge myself/ourselves to be fully acquainted.
LMP
A
CARRIERS MAXIMUM
LIABILITY R3 000
ALL GOODS ARE CARRIED IN TERMS OF THE CARRIER’S STANDARD
CONDITIONS OF CARRIAGE (SEE REVERSE HEREOF).
A Division of
DPD Laser Express
Logistics (Pty) Ltd
Reg. No.
2006/033353/07
VAT REG. NO.
4760235285
COLLECTION NOTE
TO:
DESTINATION:
ATT:
ADDRESS:
HEAD OFFICE
TEL: