Please Note : Interstate
bookings must be made before 10.30am for same
day pickup. Temperature Controlled & Perth
must be made before 1.30pm for next day
pickup.
* Create Booking
* Booking Reference
Pickup Details:
*
Company Name
*
Pickup Address
*
Contact Name
*
Contact Phone
*
Contact Email
Connote and Labels will be
sent to this email address if applicable.
Delivery Details:
*
Company Name
*
Delivery Address
*
Contact Name
* Contact
Phone
Goods
Description:
*
Description 1
--Select--
Pallet(s)
Skid(s)
Carton(s)
Cage(s)
Oversize
Pallet(s)
Other(s)
x x x x
Description 2
--Select--
Pallet(s)
Skid(s)
Carton(s)
Cage(s)
Oversize
Pallet(s)
Other(s)
x x x x
Description 3
--Select--
Pallet(s)
Skid(s)
Carton(s)
Cage(s)
Oversize
Pallet(s)
Other(s)
x x x x
Description 4
--Select--
Pallet(s)
Skid(s)
Carton(s)
Cage(s)
Oversize
Pallet(s)
Other(s)
x x x x
Description 5
--Select--
Pallet(s)
Skid(s)
Carton(s)
Cage(s)
Oversize
Pallet(s)
Other(s)
x x x x
Time Details:
*
Ready Date
*
Ready Time
--Select--
NOW
6.00am
6.30am
7.00am
7.30am
8.00am
8.30am
9.00am
9.30am
10.00am
10.30am
11.00am
11.30am
12.00pm
12.30pm
1.00pm
1.30pm
2.00pm
2.30pm
3.00pm
3.30pm
4.00pm
4.30pm
5.00pm
5.30pm
6.00pm
* Closing
Time
--Select--
NOW
6.00am
6.30am
7.00am
7.30am
8.00am
8.30am
9.00am
9.30am
10.00am
10.30am
11.00am
11.30am
12.00pm
12.30pm
1.00pm
1.30pm
2.00pm
2.30pm
3.00pm
3.30pm
4.00pm
4.30pm
5.00pm
5.30pm
6.00pm
Other Details:
Consignment Number
Consignment number if
applicable.
Quote Reference
Quote reference if
applicable.
Additional Services
--Select--
Hand Load
Hand Unload
Tailgate Load
Tailgate
Unload
Hand
Load / Hand Unload
Tailgate
Load / Hand Unload
Tailgate Load / Tailgate Unload
Express
Delivery
Select Multiple Options
--Select--
Hand Load
Hand Unload
Tailgate Load
Tailgate
Unload
Hand
Load / Hand Unload
Tailgate
Load / Hand Unload
Tailgate Load / Tailgate Unload
Express
Delivery
Temperature Control
--Select--
Refrigerated
Frozen
Temperature Service
--Select--
-18 Celsius
-17 Celsius
-16 Celsius
-15 Celsius
-14 Celsius
-13 Celsius
-12 Celsius
-11 Celsius
-10 Celsius
-9 Celsius
-8 Celsius
-7 Celsius
-6 Celsius
-5 Celsius
-4 Celsius
-3 Celsius
-2 Celsius
-1 Celsius
0 Celsius
1 Celsius
2 Celsius
3 Celsius
4 Celsius
5 Celsius
6 Celsius
7 Celsius
8 Celsius
9 Celsius
10 Celsius
11 Celsius
12 Celsius
13 Celsius
14 Celsius
15 Celsius
16 Celsius
17 Celsius
18 Celsius
Dangerous Goods
--Select--
Yes
No
Dangerous Goods Class
--Select--
Class
1.0 - Explosives
Class
2.1 - Flammable Gases
Class 2.2 - Non-Flammable,
Non-Toxic Gases
Class
2.3 - Toxic Gases
Class
3.0 - Flammable Liquids
Class
4.1 - Flammable Solids
Class 4.2 - Spontaneously
Combustible
Class
4.3 - Dangerous When Wet
Class 5.1 - Oxidising Substances
Class 5.2 - Oxidising Substances
Class
6.1 - Toxic Substances
Class 6.2 - Infectious
Substances
Class 7.0 - Radioactive Materials
Class 8.0 - Corrosive Substances
Class
9.0 - Miscellaneous
Class 9.0 -
Environmentally Hazardous Substances
Class
9.0 - Mixed Class
*
Fork Lift On
--Select--
Yes
No
*
Fork Lift Off
--Select--
Yes
No
Additional Instructions
What is
plus ?
Unsubmitted
By submitting this form you
agree to abide by our Terms &
Conditions
If the above booking form is inadequate for
your interstate booking details, you may alternatively
email or call us on the information provided
below.
Tel: +61 (3) 9796-8831
Email: bookings@panlogistics.com.au