Acceptance of Service

General Details

Date*

R/P # *(Required)

Number

inclusive of GST if applicable

Uplift Date*(Required)

My/Our Departure Date*(Required)

Destination Arrival Date*(Required)

Preferred Delivery Date

Specific Delivery Date

Anticipated Storage Period(Required)

Storage Required At(Required)

Origin or at Destination

Contact Details

Mobile Number*(Required)

+64...

Email*(Required)

Enter Your Email...

Alternative Contact Details

Mobile Number*(Required)

+64...

Email*(Required)

Enter Your Email...

Insurance

IMPORTANT NOTE: Just as you insure your belongings in your home, it is even more important to have adequate protection for them in transit to your new destination. Whilst we will handle your possessions with all care, transportation does expose them to additional risk, and it is strongly recommended you take transit insurance to ensure you are compensated in the event of any mishap which may occur.

Signature(Required)

Are you sure? Intransit insurance is recommended.

If insurance is not selected, I/We acknowledge that we have arranged alternative covers or are self insuring and confirm that the goods are carried at Owners Risk as per the Contracts & Commercial Law Act 2017. This means that NZ Van Lines will pay no compensation if goods are lost or damaged, unless NZ Van Lines intentionally loses or damages them.

Signature(Required)

Terms of Acceptance*

Sign & Agree

Signature(Required)

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