BARGE BOOKING REQUEST - Hayman Island Logistics

BOOKING CONTACT & CONFIRMATION INFORMATION

Requestor Details

Full Name *

Company/Dept. Name

Phone *0 / 12

Email Address *(Booking confirmation to be sent)

Mainland Contact DetailsSame As Requestor Details(Please untick if different from above)

Mainland Contact

Full Name *

Company/Dept. Name

Phone *0 / 12

Email Address *

Receiver Contact DetailsSame As Requestor Details(Please untick if different from above)

Receiver Contact

Full Name *

Company/Dept. Name

Phone *0 / 12

Email Address *

BOOKING DETAILS

Date Of Travel *

(Please choose a date that is at least 5 days from today)

Direction *

Other Origin & Destination *(Please mention one way or return run)

Use *

Use Other *

Passengers *(Max 10 passengers can travel at a time. Please choose how many are travelling)

P1 - Full Name & Mobile *

P2 - Full Name & Mobile *

P3 - Full Name & Mobile *

P4 - Full Name & Mobile *

P5 - Full Name & Mobile *

P6 - Full Name & Mobile *

P7 - Full Name & Mobile *

P8 - Full Name & Mobile *

P9 - Full Name & Mobile *

P10 - Full Name & Mobile *

A SEPARATE REQUEST MUST BE COMPLETED AND SUBMITTED FOR EACH DIRECTION OF TRAVEL

VEHICLE DETAILS

Number of Vehicles *

Vehicle 1 - Registration *0 / 10

Vehicle 1 - Type *

Vehicle 1 - Length x Width x Height *

Vehicle 1 - Weight *

Vehicle 2 - Registration *0 / 10

Vehicle 2 - Type *

Vehicle 2 - Length x Width x Height *

Vehicle 2 - Weight *

Vehicle 3 - Registration *0 / 10

Vehicle 3 - Type *

Vehicle 3 - Length x Width x Height *

Vehicle 3 - Weight *

Any Vehicles with Low Clearance? *

Upload Vehicle Image 1 *

No file chosen

You can upload separate individual image if more than one

Upload Vehicle Image 2

No file chosen

Please upload image 2

Other Notes (e.g. Other Vehicle Type etc.)

ANY VEHICLES WITH LOW CLEARANCE OR LARGE OVER HANG, PLEASE SUPPLY PHOTO

GOODS / SUPPLIES DETAILS

Goods Transport *

Quantity & Approx Volume *

Dangerous Goods *

SDS Provided *

Upload SDS *

No file chosen

(A single image or document please)

Other Notes

SAFETY DATA SHEETS MUST BE ATTACHED WITH ALL CHEMICAL / SUBSTANCE TRANSPORTATION REQUESTS

LOADING & UNLOADING HANDLING DETAILS

Method *

Forklift Required at Origin *YesNo

Forklift Required at Destination *YesNo

Additional Notes

FORM SUMMARY IS AS BELOW:

BOOKING CONTACT & CONFIRMATION INFORMATION

Requestor Details:

Full Name: {name-1}
Company/Dept. Name: {text-1}
Phone: {phone-1}
Email: {email-1}

Mainland Contact Details: {checkbox-1}
Full Name: {name-2}
Company/Dept. Name: {text-2}
Phone: {phone-2}
Email: {email-2}

Receiver Contact Details: {checkbox-2}
Full Name: {name-3}
Company/Dept. Name: {text-3}
Phone: {phone-3}
Email: {email-3}

BOOKING DETAILS

Date of Travel: {date-1}
Direction: {select-3}
Other Origin & Destination: {text-30}
Use: {select-4}
Use Other: {text-31}

Passengers: {select-1}
Passenger 1: {text-6}
Passenger 2: {text-7}
Passenger 3: {text-8}
Passenger 4: {text-9}
Passenger 5: {text-10}
Passenger 6: {text-25}
Passenger 7: {text-26}
Passenger 8: {text-27}
Passenger 9: {text-28}
Passenger 10: {text-29}

VEHICLE DETAILS

Number of Vehicles: {select-2}

Vehicle 1 - Registration: {text-11}
Vehicle 1 - Type: {select-5}
Vehicle 1 - Length x Width x Height: {text-13}
Vehicle 1 - Weight: {text-14}

Vehicle 2 - Registration: {text-15}
Vehicle 2 - Type: {select-6}
Vehicle 2 - Length x Width x Height: {text-17}
Vehicle 2 - Weight: {text-18}

Vehicle 3 - Registration: {text-19}
Vehicle 3 - Type: {select-7}
Vehicle 3 - Length x Width x Height: {text-21}
Vehicle 3 - Weight: {text-22}

Any Vehicle with Low Clearance or Large Hang Over: {select-12}
Uploaded Vehicle Image 1: {upload-1}
Uploaded Vehicle Image 2: {upload-3}
Other Notes (e.g. Other Vehicle Type etc.)
{textarea-3}

GOODS / SUPPLIES DETAILS

Goods Transport: {select-8}
Quantity & Approx Volume: {text-24}
Dangerous Goods: {select-9}
SDS Provided: {select-10}
Uploaded SDS: {upload-2}
Other Notes:
{textarea-1}

LOADING & UNLOADING HANDLING DETAILS

Method: {select-11}
Forklift Required at Origin: {radio-1}
Forklift Required at Destination: {radio-2}
Additional Notes:
{textarea-2}

Conditions of Carriage *Yes, I agree to the Hayman Logistics Conditions of Carriage.

Please click here to read our Conditions of Carriage.

PLEASE FILL OUT THE BELOW BARGE REQUEST FORM

PLEASE NOTE: ALL BOOKINGS MUST BE MADE 5 BUSINESS DAYS PRIOR TO DATE OF TRAVEL ALL VEHICLES MUST BE AT THE TERMINAL 30 MINS PRIOR TO DEPARTURE, ALL GOODS MUST BE DELIVERED BY 6AM