Emergency Consigment Form

Transcoast Express Pty. Ltd. Specialist Transport Managers A.B.N. 32 051 250 143 P.O. Box 777, Seven Hills NSW 1730 Phone: (02) 9676 1777 Fax: (02) 9676 1700
Date
Consignment Number:
Account No.
45477273
Reciever Postal Code
SENDER DETAILS
RECIEVER DETAILS
Company Name
Company Name
Street Address
Street Address
Suburb
Suburb
State
State
Postcode
Postcode
Contact Person
Contact Person
Telephone
Instructions
Order No.
Consignment
Type of Delivery
Special Instructions
Senders Ref Description Item Weight (kg) Cubic Measurement in cm
X
X
X
X
X
X
Pallet Details ( Complete if your goods are on pallets)
No of Pallets
Choose One
NO INSURANCE IS INCLUDED (If you wish to insure this consignment, please phone your nearest Transcoast office.)
Declaration of Goods
We are not common carriers, please read the items and conditions of contract with reference to the trade practices to the trade act, 1974, as amended
Consigner's Signature
Driver's Signature
Reciever's Signature
Date
Date
Date