Book a Pick-up

	Your DHL Account No.*

	Your Name*

	Office Phone No.*

	Mobile Number

	Your eMail Address

	Preferred Method of Contact*		Phone  Mobile  Email

	Company Name*

	Business Address*

	City*

	Postal Code*

	State*

	Country*

	Office Closing Time*		5.30 pm6.00 pm6.30 pm7.00 pm7.30 pm8.00 pm8.30 pm9.00 pm9.30 pm10.00 pm10.30 pm11.00 pm11.30 pm12.00 am12.30 am1.00 am1.30 am2.00 am2.30 am3.00 am3.30 am4.00 am4.30 am5.00 am5.30 am6.00 am6.30 am7.00 am7.30 am8.00 am8.30 am9.00 am9.30 am10.00 am10.30 am11.00 am11.30 am12.00 pm12.30 pm1.00 pm1.30 pm2.00 pm2.30 pm3.00 pm3.30 pm4.00 pm4.30 pm5.00 pm

	Time Shipment to be Collected*		2.30 pm3.00 pm3.30 pm4.00 pm4.30 pm5.00 pm5.30 pm6.00 pm6.30 pm7.00 pm7.30 pm8.00 pm8.30 pm9.00 pm9.30 pm10.00 pm10.30 pm11.00 pm11.30 pm12.00 am12.30 am1.00 am1.30 am2.00 am2.30 am3.00 am3.30 am4.00 am4.30 am5.00 am5.30 am6.00 am6.30 am7.00 am7.30 am8.00 am8.30 am9.00 am9.30 am10.00 am10.30 am11.00 am11.30 am12.00 pm12.30 pm1.00 pm1.30 pm2.00 pm

	City*

	Postal Code

	State*

	Country*

	Contents*

	Pieces*

	Weight (Kg)*

	Dimension (cm)[Length x Width x Height]

	Value of Shipment (RM)

	Insurance*		Yes  No

	Mode of Payment*		Cash / Cheque  Charge to Account