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Bike Details (make/model/year) *

Are you a freight forwarder *

Are you Buying, Selling or Relocating *

Approx value if bike is rare / special etc.

Does the bike have panniers or saddle bags. If so are they removable? *

Does it have a top box *

Is there any gear or spare parts travelling with the bike? *

Please list any gear or spare parts that are travelling with the bike as well as if they are in boxes or loose

Pickup Address *

Additional info regarding Pickup Address (hilly, gravel road, hard to find etc)

Please list 3 different times and dates that someone will be available to release and sign for the bike *

Name of person releasing bike *

Phone number of person releasing bike (landline) *

Phone number of person releasing bike (mobile) *

Email Address of person releasing bike *

Alternate contact details for person releasing bike (email, fax, other phone numbers)

Delivery Address *

Please list 3 times someone will be available to sign for bike on delivery

Name of Person receiving bike *

Phone number of person receiving bike (landline) *

Phone number of person receiving bike (mobile *

Alternate contact details for person receiving bike (eg email, fax, other phone number)

Chargee Details (if different to above)

Chargee's Address

Chargee's Phone Number (landline)

Chargee's Phone Number (mobile)

Payment Type (private and non account chargee's must pay before delivery is made)

BIKE MUST BE QUARANTINE CLEAN. FINES WILL BE PASSED ON, $1300 + WASH DOWN FEES MINIMUM OF $450 *

I have read the and fully understand the above terms