NEW
Business
Customer
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BUSINESS DETAILS
COMPANY NAME
ACCOUNT NUMBER
COLLECTION DETAILS
COLLECTION ADDRESS SAME AS TRADE ADDRESS
No (Fill in Collection section)
Yes (Proceed to Delivery section)
CONTACT NAME
COMPANY NAME
ADDRESS LINE 1
ADDRESS LINE 2
TOWN / CITY
POST CODE
COLLECTION COUNTRY
England
Scotland
Wales
N.Ireland
Other
CONTACT NUMBER
DATE OF COLLECTION
1
2
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5
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8
9
10
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28
29
30
31
January
February
March
April
May
June
July
August
September
October
November
December
2007
2008
2009
2010
2011
2012
2013
2014
2015
DELIVERY DETAILS
CONTACT NAME
COMPANY NAME
ADDRESS LINE 1
ADDRESS LINE 2
TOWN / CITY
POST CODE
DELIVERY COUNTRY
England
Scotland
Wales
N.Ireland
Other
CONTACT NUMBER
PACKAGE DETAILS
SERVICE TYPE
Next Day up to 20kg
Three Day up to 20kg
Next Day up to 30kg
Three Day up to 30kg
ADDITIONS
None
Over Size Parcel
Highlands
Extra Insurance
LENGTH (cm)
1
2
3
4
5
6
7
8
9
10
11
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100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
over 120
WIDTH (cm)
1
2
3
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5
6
7
8
9
10
11
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15
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18
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20
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40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
over 60
HEIGHT (cm)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
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18
19
20
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30
31
32
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40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
over 60
PACKAGE WEIGHT (kg)
1.00
2.00
3.00
4.00
5.00
6.00
7.00
8.00
9.00
10.00
11.00
12.00
13.00
14.00
15.00
16.00
17.00
18.00
19.00
20.00
21.00
22.00
23.00
24.00
25.00
26.00
27.00
28.00
29.00
30.00
over 30.00
PACKAGE CONTENT
ITEM VALUE (£)
under £50
£51-£100
£101-£150
£151-£250
£251-£350
£351-£500
Over £501
I ACCEPT GREENPARCEL TRADING
TERMS & CONDITIONS OF CARRIAGE
(SEE LISTING) AND I CONFiRM THAT THE DETAILS IN THIS FORM ARE CORRECT
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