1.
Answer Yes or No
2. Description of goods: (Descriptions such
çarton/package or box are not acceptable)
3. The total value of the consignment:
IF
THE GOODS ARE VALUED AT $2000 OR MORE A COPY OF A TAX INVOICE MUST EITHER a) accompany the goods, b) faxed to 08 94776077 or c) be scanned and emailed to
perth@freightshop.com.au:
4.Name, Address of Sender WITH PHONE NUMBER
5. ABN: (Required if the goods value is $2000.00 or more)
6. Name of Receiver:
7. On which Island?
XCH = Christmas
Island CCK = Cocos (K) Island
8. Charge freight to: (Non-account holders, please supply a
phone number so that we can call and obtain your Credit Card details)
9. Flight Preference if any? (Freighter) (Kuala Lumpur flight)
(Virgin) (DIAC Charter if you have authority)
10. Quote your sender's reference number if you have one
11. Name of the
person making this declaration :
12. Your email address ****** MUST BE FILLED IN ******
Completing this form does NOT mean
your goods will be collected. You must ring us if you want a courier arranged
THIS DECLARATION IS ONLY VALID FOR 30 DAYS
After you have pressed SUBMIT you will get a pop-up screen showing you a copy
of your submission. You are welcome to print it complete the driver detail. This
will speed up the delivery process considerably if the driver has this form with
him/her on arrival at Freightshop.