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Your Personal Details * Required information
Gender:   Male    Female *
First Name:  *
Last Name:  *
Date of Birth:  * (eg. 21/05/1970)
E-Mail Address:  *
Company Details
Company Name:  
Your Address
Street Address:  *
City:  *
County/Region:  *
Post Code:  *
Country:  *
Your Contact Information
Telephone Number:  *
Fax Number:  
Your Password
Password:  *
Password Confirmation:  *
Delivery Details
1. Vehicle Access
a. Is the property accessible to a high-sided 7.5 t commercial vehicle?
Yes No *
b. Are there any vehicle restrictions on approach to the property? For example:
i. Width Restrictions
Yes No * (please specify if YES: )
ii. Low Bridges
Yes No * (please specify if YES: )
iii. Other Points ( )
2. Parking/Loading Restrictions
a. Can vehicles park safely for the duration of the delivery?
i. Parking Restrictions
Yes No * (please specify if YES: )
ii. Waiting Restrictions
Yes No * (please specify if YES: )
iii. Loading Restrictions
Yes No * (please specify if YES: )
3. Delivery Access
a. All deliveries will be made to the front/side or rear access of the property.
b. Goods will be delivered to the point of access, and drivers are restricted from entering the customer's property.
c. Can delivery be made to the point of access without obstruction?
Yes No *
d. Is the property a:
House Flat *
e. In the case of the property being a flat or above ground level, is the property served by a service lift?
Yes No *
4. Receipt of Goods
a. Deliveries will be made only where a responsible adult is available to sign for goods.
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