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Your Name
Your current home address
Your phone number
Your email address
Subject
Collection details
Name
Address
Post code
Contact number
Collection time
Collection Date
Collection reference number
Special Instructions (optional)
Delivery Details
Post Code
Contact Number
Delivery time
Delivery Date
Special instructions
Do you want sms delivery update?
Do you want email delivery update?
Do you want proof of delivery?
Do you want photographic proof of delivery?
Do you want to use a special code for delivery?
Please insert any other instructions where applicable