Name
*
First Name
Last Name
Hurry Hub Booking Form
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Task Type
General Errand
Grocery click-and-collect
What do you need done?
*
(Describe the task clearly – e.g. pick up groceries, return parcel, etc.)
Will someone be available at pickup/drop-off
*
Please Select
YES
NO
UNSURE
Pickup location Details
(if applicable)
Drop-Off Location Details
(if applicable)
Booking Date
*
-
Month
-
Day
Year
Date
Booking Time
*
Morning (8am–12pm)
Afternoon 12pm-3pm
Evening (3pm -5pm
ASAP / URGENT (extra chargers may apply
Collection Documents
Browse Files
Drag and drop files here
Choose a file
(if applicable)
Cancel
of
My Products
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( X )
General Click-and-collect
Click and collection of grocery order or general errand.
$25.00 NZD
$
25.00
NZD
Quantity
1
2
3
4
5
6
7
8
9
10
Any special instructions?
(Gate codes, parking info, contact person, etc.)
Preferred Payment Method:
*
Please Select
Cash
Bank transfer
Eftpos
Terms Agreement: I agree to the service terms and understand extra charges may apply
*
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