Judicial Delivery-Reservation Form

Dear customer, Eilat Delivery thank you for your decision to use our services, If you want to make a reservation you have to fill out the form and submit.

Customer Details

Full Name:      Business Name: 

Email :           Fax :                

Phone :           Cellphone :       

Country :         City :                    

Address to send bill :     

Sender Details

Full Name:      Business Name: 

Phone :           Cellphone :       

Address  :       city:

Delivery Type:   Amount:

Pick up Date: Day    Month   Year

Hour Rang:  between  Hour + to  Hour +

 

 

Recipient Details

Full Name:      Business Name: 

Phone :            Cellphone :          

Address  :       city:

Price : 

The price Include  up to three visits in the marked address, The payment is not conditional by

actually deliver the judicial delivery or  locat the recipient in  the marked address.


Additional Instructions: