Pickup Request Form

Broken Hill Freight Centre and associated businesses are not Common Carriers & does not accept liability as such. Goods accepted for freight are done subject to our Terms & Conditions.

Broken Hill Freight Centre and associated businesses offers no insurance on goods damaged or lost in transit.

Goods Cover is an additional charge that provides up to $400 coverage for valid claims that meet certain Terms & Conditions. Do not short pay your account, please contact our office for a Claims Form.

Non-account holder customers are required to have Goods Cover and must pay for freight prior to goods being released for delivery.

Broken Hill Freight Centre and associated businesses accepts no responsibility for goods insufficiently packaged.

Name/Company

Depot Collecting?

If "other" please specify below in Special Instructions/Additional Information.

Quote Number (if applicable)

PO (if applicable)

Goods Ready

Close Time

Who is paying?

If "other" please specify below in Special Instructions/Additional Information.

Pick Up From

Pick Up Address

Contact & Phone

Loading Facilities Available

Yes

Deliver To

Delivery Address

Contact & Phone

Unloading Facilities Available

Yes

Number of Items

For multiple items with different LxWxH enter in below in Special Instructions

Description of Goods

For multiple items with different description enter below in Special Instructions

Total Weight (kg)

Estimated Length (in centimetres)

Estimated Width (in centimetres)

Estimated Height (in centimetres)

Special Instructions/Additional Information

By checking this box you confirm you have read and agree to our Terms & Conditions of Carriage