RTB Collection Form – Robot Coupe #THEsolution

RAN (Return Authority Number) or SAN (Service Authority Number) *

Business Name *

Contact Name *

Contact Number *

Email *

Street Address *

Suburb *

STATE *

Postcode *

Opening Hours (e.g. 9:00AM – 5:00PM) *

Machine Model *

Special Instructions

How many cartons / parcels for collection? *

Are they in the original RC Packaging? *

Do you have the dims / weights for cartons? *

Carton #1 – Length (cm)

Carton #1 – Width (cm)

Carton #1 – Height (cm)

Carton #1 – Weight (kg)

Carton #2 – Length (cm)

Carton #2 – Width (cm)

Carton #2 – Height (cm)

Carton #2 – Weight (kg)

Carton #3 – Length (cm)

Carton #3 – Width (cm)

Carton #3 – Height (cm)

Carton #3 – Weight (kg)