Test Contact – Balikbayan Box Nederland

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Pick-up address:

First Name*

Middle Name

Last Name*

Street*

Number*

Zip-code*

City*

Please select your Country:

Email*

Phone*

Delivery address:

First Name*

Middle Name

Last Name*

Address*

Zip-code

City*

Country: Philippines

Phone*

Box nr.*

You will find the box nr. on the address label on the Box. When you don't have a box nr. please contact us.

Do you have also other things ready for pick-up like a TV or a Bike than please fill in the field below.

Other things like TV or bike

When you have more than one box ready for pick-up answer the questions below.

Do you have more than one Balikbayan box ready for pick-up?:

[group moreboxes-yes-selected]

How many boxes do you have ready for pick-up?:

Is the delivery address the same as the one you already fill in?:

[group sameaddress-yes-selected]

Box-Number #

When the delivery address is the same you only have to fill in the box nr. from the boxes that you have ready for Pick-up.

Box nr.*

You will find the box nr. on the address label on the Box. When you don't have a box nr. please contact us.

[/group]

[/group]
[group sameaddress-no-selected]

Address #

Delivery address:

First Name*

Middle Name

Last Name*

Address*

Zip-code

City*

Country: Philippines

Phone*

Box nr.*

You will find the box nr. on the address label on the Box. When you don't have a box nr. please contact us.

[/group]
[group moreboxes-no-selected]

Now you can register your Pick-up.

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