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14
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1
Company Name
*
This field is required.
Your Company name or Account number (if you have one)
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2
Your Name
*
This field is required.
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3
Your Email Address
*
This field is required.
example@example.com
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4
Collection Address (If not account address)
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5
Delivery Address
*
This field is required.
Please include a contact name, number and email address
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6
Service
*
This field is required.
Economy
Express
Please quote for both
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7
Contents
*
This field is required.
Please advise package contents, weight, sizes and commodity code
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8
Consignment Value
*
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9
Include Enhanced Cover
*
This field is required.
YES
NO
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10
Reason for Export
*
This field is required.
Sale
Intercompany transfer
Personal effects
Personal Use
Sample
Gift
Return
Return for repair
Return after repair
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11
Duties and Taxes
*
This field is required.
Who is responsible for the import duties
Sender
Receiver
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12
Country of Origin
*
This field is required.
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13
Booking Options
*
This field is required.
Email me the price first
Go ahead and make the arrangements
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14
Terms of Carriage
*
This field is required.
Available on request
I agree to Apex Couriers' terms of carriage
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