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Receiver Pays Request Form

HOME : RECEIVER PAYS REQUEST FORM

Please note that failure to complete this request accurately and in full may delay your collection and transit. If you have any issues completing this form, you can call our international help desk on 0800 655 010.

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Online Application
* Required field
Date:*
New Zealand Couriers Account Number: *
Contact Name: *
Contact Phone Number: *
 

Sender's Details
Company Name: *
Collection Address: *
City: *
Postal Code: *
Country: *
Contact Person: *
Contact Phone Number: *
Contact Email Address: *
 

Receiver's Details
Company Name: *
Contact Person: *
Contact Phone Number: *
Contact Email Address: *
 

Delivery Details
Company Name: C/- New Zealand Couriers International
Delivery Address: 32 Botha Road,
Penrose
Auckland
New Zealand
Contact Phone Number: 0800 655 010
Contact Email Address: [email protected]
 

Goods Detail

Contents:*
(Description)
Contents Value:
Currency:
Number of Packages*
Weight: *
(Total)
Dimensions:*
(cm)		 x x
Purchase/Reference Number:
Date ready for collection: *
Duties and/or Taxes to be
charged to:		 Receivers� New Zealand Couriers account unless receiver has a NZ Customs deferred account
Receivers' NZ Customs
Deferred Account number is:
(If applicable)
New Zealand Couriers
authorisation given by:
Special Instructions:
(Description)
International Courier Service Requested: *
 International Express
Economy
Enhanced Liability Cover: *
 Yes
No


Conditions of Collection
The charge is subject to change from the card rate if collection location is outside the New Zealand Couriers collection area. Depending on location, collection may take up to 48 hours. Receiver has been advised that charges will depend on the greater of actual or volumetric weight. Please be aware that it is the Sender who is responsible for addressing the consignment note as per your instructions. This form is for internal use and does not mean that we are able to control the completion of the Sender�s consignment note. We recommend you send this completed form, or such to your sender to ensure they consign the package to you accordingly. New Zealand Couriers will endeavour to assist this process but will not be liable for inaccurately completed consignment notes.

 
 

 
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