Please print this page to A4 paper, fill out your consignment details and fax to Hi-Trans.        Print page :: Close window

		Pty Ltd. ABN38003219216 PO Box 2187 Regency Park SA 5942	Consignment	IS 7598
			Dispatch Date
Pick Up From			Deliver To
Sender Name			Receiver Name
Street Details			Street Details
Suburb/Town			Suburb/Town
State/Postcode			State/Postcode
Is this freight Food Stuffs		Yes / No	Is this Dangerous Goods		Yes / No
Service Required		General / Express	Time Slot Delivery                       Date
Refrigeration Required		No / Yes (Temp)	Time
Item Details (up to five different item can be written into this single freightnote)
Ref	Description		Qty      Weight      Length     Width      Depth
			Pallet Details	Qty                        Type
Senders Signature			Receivers Signature
Name / Date			Name / Date

- - - - - - - - - - - - - - - - - - - Branch Personnel, separate form here - - - - - - - - - - - - - - - - - - - -

Contact Name ____________________ Phone __________________  Fax ______________________

Email ___________________________ Postal Address ______________________________________

Please complete all sections, circle multi choice answers and fax to Hi-Trans on one of the numbers below.  When the branch receives the fax, the freight movement will be quoted. If the quotation is accepted we will require the Cedit Card Charge form to be filled out and faxed in. Once payment has been approved, we will post, fax or email out a tax invoice and arrange a pickup date and time with you. Please note, the quoted price will include GST and a credit card charge premium. Customers with rated lanes and accounts, who wish to pay by credit card, will be required to pay a credit card premium.

Branch Use Only     Details for consignment note number .. IS 7598