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Your Details

Name *

Email Address *

Phone No

Collection Details

Collection Address *

Collection Date (From) *

Collection Date (To)

Collection Time (From)

Collection Time (To)

Collection Contact (Name & Number)

Delivery Details

Delivery Address *

Delivery Date (From) *

Delivery Date (To)

Delivery Time (From)

Delivery Time (To)

Delivery Contact (Name & Number)

Optional Contact (e.g., for building access)

Parcel Details

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Size (mm, e.g., 30x20x10)

Include CorgiCare™ for extra protection?

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