Pickup Location Information
Contact Name *
Company Name *
Contact Phone number *
Contact Email *
Pick Up Address *
Suite or floor *
Surburb/City *
Postcode*
Alternate Name and Number

*Mandatory

Equipment status	Tick for 'yes'
Is Equipment boxed
Is a Lift-Gate truck required?
Can site accept large tractor trailers?
Equipment consolidated in one area?
Equipment on the main floor?
If not on main level, is an elevator available?
Is equipment on pallets?
Preferred Date for Pickup
Preferrred Time fop Pickup
Special instructions to Pickup Carrier: