AUTHORITY TO ACT & DELIVERY INSTRUCTIONS Name: Ref No: Delivery Address:Contact Address: Earliest Date for delivery: Tel: (Home) (Work): (This does not guarantee delivery on this date) (Email): STORAGE: Required/Not RequiredLength of Time (Please refer to your insurance policy regarding extension of cover whilst in storage) For storage over one month a separate storage contract will need to be signed please refer to the office. DELIVERY & ACCESS INSTRUCTIONS Deliverywillbe made during normal business hours Monday/Friday, 8.00am-4.30pm (unless otherwise agreed) andtoasinglemainlandresidenceaccessedbydirectroadroute.Thevehiclemust beabletogainlegaland safeaccessandparkwithin25metresofthegroundfloorentrancetotheproperty.Deliverymustbeableto takeplacethrough anunobstructed entrance/stairs/elevator large enough to accommodate all goods. Type of accommodationHouseApartment Can the vehicle park directly outside your home? (Please note our vehicles are up to 9 metres long and may have a trailer attached) YesNo Are there any parking restrictions in force?YesNo What is the length of your driveway from the road?YesNo Can a vehicle which is 9ft wide x 25ft long x 15ft high get down the driveway unobstructed? YesNo To which floor is delivery required? Is an adequate lift available?YesNo If not, what is the approximate number of stairs? Do you have any heavy lift items? (i.e: Pianos, Snooker/Pool Tables, Safes)? YesNo Do you have any vehicles or weapons within your shipmentYesNo Item: Pleasenotethatsomeonewillneedtobepresenttosignforthedelivery.Homesinruralareasornew developmentscanbedifficulttolocate.Ifyourhomeis inthiscategory,pleaseassistbyproviding directions or a sketch map on the reverse of this form thank you. **Deliverycanonlybeeffecteduponreceiptofanyoutstandingchargesfordemurrage, detentions, storage or inspection fees, if incurred ** All deliveries made by New Zealand Van Lines Ltd will be subject to our Terms & Conditions (available upon request) and at the Owners Risk within the terms of the N.Z. Carriage of Goods Act 1979. This meansthecarrierwillpayno compensationifthe goodsarelostordamagedunlessheintentionally loses or damages them. SIGNED: DATE: