Order Details:

Please fill in the following details to finalise your order.

Collection

Name:
Telephone (Landline):
Telephone (Mobile):
Address:
Postcode:
use these details for invoicing


Delivery

Name:
Telephone (Landline):
Telephone (Mobile):
Address:
Postcode:
use these details for invoicing


Alternative Invoice Address

(If invoicing details are different from either collection or delivery above, please provide address below – otherwise ignore)
Invoice Address:


Details of goods

Approximate Weight (kg): KG
Approximate Dimensions (cm): (H x W x L)
I confirm that the sizes and weights given are accurate to the best of my knowledge and I understand that carriage of my goods may be refused if the size and/or weight is found to differ significantly from the figures given.

I confirm that I have declared to DJB Couriers, any and all material within my consignment that would be classed as hazardous under ADR regulations.

I understand that the driver will be alone and that I am responsible for ensuring assistance is available to load and unload large and heavy items.

I accept the full terms and conditions of DJB Couriers.