1.
Answer Yes or No
2. Description of goods:
3. Value of the goods: 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. Supplier: (Name, Address and 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? (We will consign on first
available if no selection
made)
10. Upgrade to PRIORITY (Extra cost) Yes or No
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