Reverse Order Request Form

Please fill up the form below with pickup and delivery details. Our customer service representative will get back to you shortly.

REQUESTOR DETAILS

PLEASE CHARGE UNDER

TYPE ( Doc or Parcel )

 Parcel
 Document

NUMBER OF PCS

WEIGHT ( if any )

REQUESTER NAME

REQUESTER EMAIL

AUTHORISATION LETTER ( if required )

PICK UP DETAILS

NAME

PHONE NO

COMPANY NAME

DEPARTMENT

PICK UP ADDRESS

POSTCODE

CITY / TOWN

STATE

PICK UP DATE

PICK UP TIME

DELIVERY DETAILS

RECEIVER NAME

PHONE NO

COMPANY NAME

DELIVER TO

POSTCODE

CITY / TOWN

STATE

REMARKS