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PACK & SEND Hobart
ABN 32 566 185 244
17A Main Road,

CONSIGNMENT NOTE
& TAX INVOICE

Moonah Tasmania 7009 A
Frome opat@pecksendcomeu 8220 We Send Anything, Anywhere! AUS/HOB { 54 2 aad
4 | SENDER 2] RECEIVER Residential/Business (Circle One)
NAM: 0... eeesesssnsenseneneceseeeceesscsaserssuussrsaessesesecssssesoataceassesseeseesaessseressesttassaseegs NANG: 0.0......sssseserssenecnscesecseecsssarorerssvensbatecegenrsecessserses
Company: we REAS TT COMPANY: ..eeesccsecsesssescssecssssscnssssssssscsseessenseascaseasssertecsuessssasseseseassensssssssesneeeees
apn: | GIL IE DIGI pate: !?3. Cc St | adaress: sessusssasesesnsenseninnssesiosnseetecvsesteensasstsesussestessssssssssaseaneudlDbeeneeesee
Address: vevsssssnesssccencacscscassensns | s1eeeQbthescecscsscsecssssssesessscsesesesssssesssssussassssssssssaseuesevsaceasssssssssssusavsssssusaasssesavenaceses
sovssseeesnssscencenoneeseesnsneseennanscessnanaceesanussesssansassessssececseanvareccessnuessssssesectsnnecgecnnesss [| "wiessessnnarsesevavieasssssnssceseanasseeneanuesesessnnasssesssnnececessnnaes POStCOGE? ...........--ssssssnsens
seecesseneneceneserecessesssessscecseeececcesenssquessseesetsecesaeneneseaeenent POStCOdE: o.sssssecscccsssccene | SRARE! cccessssseessessseesescensesssnsessssnssesssess COUMUY! veesececseecceccncsssssstssansnennsscssssesees
State: ........ COUNTY! ooeececcceesssessetccsseccsessseceseccsucessees PRONE (W): ....escecsecssesseesecsecsecsssecsssssssssssesssssseseenesaressessensessessesssanssecssssssuesneenees
Phone (W): ssuusssesesssesstsuseusesssstsssssssssssssssssssssbibssssissssssisessssestisissssececceccssssssecs PHONE (H): ......ssessssecsssessssessessssecsnsssscsveneaccecsvessusssescessavesesssesassesessseesuseccucasanenss
Phone (H): oe. cessessesecscsesseesssereseserceseeseseesseesssseessetseessrasesecescseecanersececseanen MOD ING: o..sso.-s-sesssssseseeseresnnneeeeeettnee FAKE oossesssssssssseetreestteeteeeeeeencttnnnensensee
Mobile: .. (FOX! scccsscsssccssscerccsseescessccseceeeesee. Ermaiil: o...eseesssesssenssessessesesssussosnareorseseestsesscessssesesseseatsnsueseccnststsesesssesscaneeseceraeeses
MEQR! wane wes INTERNATIONAL ONLY
Email: At ons des Eescseccnertessesesseeesecerssscssesceeseneesnsecasanensenes * | Used Goods J Send and Retum L_! Not For Resale L) eit sate Ol

3 | DESCRIPTION AND WEIGHT OF GOODS: Note. Gold or Silver service must be specified by customer and initialed.

Box No. Description of goods

Gold/Silver | Market Value $ | Dead Weight kg

B2ZC 24

2 Total number of boxes

Totals ES"

SILVER SERVICE Convenient solutions as specified by customer on this Consignment
Note which may include professional packing, address labelling, document preparation,
freight pick up, freight delivery to store, port or door, and tracking & tracing, as per the terms
overleaf. Customers Signature: .............cccsccssssesssstssseseseeessseessecsaesessnseee

GOLD SERVICE As per SILVER service but includes extra peace of mind for loss or
damage of goods in transit (with the limitation of exclusions) as per clause 9 overleaf. (Not
available for documents, “home delivery & leave service” and international mail)
Customers Signature:

4 | SPECIAL INSTRUCTIONS & PROOF OF DELIVERY

“Received in good condition.”

NE a: a Signature: Date:

st eeessoncccsaccccens

|S | COSTING

prices: 4.5.2...

TOTAL $:

6 | TRANSPORT SERVICE SELECTED
DOMESTIC: ) Local same day point to point couner OL
—] Road express courier OJ Priority express courier Same day priority express

|7 | PAYMENT DETAILS

Cash ([]Cheque OlEttpos (Credit Card

J Hitech normal 0) Hi-tech nite-on-site OC) Furniture removals Card Type CLlAmex (ClDiners (Visa [JMaster [Other

C] Home delivery & cal Cd Store to Store

INTERNATIONAL; , +. |eadve LIU OOOO OO00 0000

OC] Priority e tourer LC) Airfreight to port CO) Air freight to door =O Air mail premium oO Ez

_] Ecertémy express courier O) Sea treight to port 1 Sea treight to door CO Parcel Post Expiry Date / (] RECEIVED WITH THANKS //49).......> f
PACKING SERVICE SELECTED “

Cy

J Pre-packed _] Foam-in-Place QO) In store O) On site W@W Packaging sale only O Fulfillment
9 | SOURCE OF BUSINESS QO) Existing customer “] New customer
—_] Yellow Pages _) Brochure _) Radio O TV J PR QO Referrat O Other: ooo. ee

INTERNATIONAL SENDINGS

In addition to this consignment note Customs Authorities require you to complete a Customs

gr or sample. must be fully and accurately described. Failure to do this may delay the consi
uthorities abroad. PACK & SEND is not responsible for declaring the contents of the consig

DUTIES AND OTHER COSTS

All international shipments including personal
those customs charges and ts not responsible for the payment of an
SEND is not responsible for any costs relating to the handling, postin

MAIL

PACK & SEND delivers international mail parcels and mail documents by the same method
the point of lodgement in the receiving country's postal system. PACK & SEND is not respo!

PACKING AND FRAGILE ITEMS
Customer acknowledges that the carrier's packagin
damage to any consignment packed by the custome

Q standards for shock, vibration and com
t.

ha]

the consignment does not contain any dangerous goods, e.g., unauthorised explosive devi

Customer's Signature

Nnment.

gifts and “exempt” items can be subject to customs duty, taxes and government charges in the receiving country. PACK & SEND cannot estimate
y Customs duty. taxes, government charges. Where the customer nominates a delivery service to the port only PACK &
9 oF delivery of the shipment from the receiving port onwards.

that PACK & SEND has explained the difference in tracking and tracing abilities of mail and courier se

! agree to the terms and conditions above and on the reverse side of this document. | ackno

Declaration on all international shipments except documents. The contents of a parcel, even if a
ignment and inconvenience the receiver or even lead to the seizure of the item by the Customs

Customer's initials: 0...

Customer's initials:

used by Postal Authorities woridwide. Tracking and tracing of the consignment is available up to
nsibie for tracking or tracing the consignment by local postal systems. Customers acknowledge

rvices.
Customer's initials: .
pression have been explained by PACK & SEND who assumes no responsibility or liability for

Customer's initials:

wiedge this consignment will be subject to security and clearing procedures. | confirm
eS, flammables, corrosives, aerosols, perfumes, nail polish, matches, lighters, etc.

Date: oo. cccccessccceccseerseanesanes

ic

Issued 02/02/07