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Company Name *
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Phone *
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Your Address *
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Your Way Bill Address *
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Select Title
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Title *
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Contact Person Name *
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NIC Number *
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Email *
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Courier Service Selection
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E-commerce store type
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Courier Service Tier
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Order Confirmation
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Pickup time *
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Product description *
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Banking Details (Account Name, Account Number and Branch)
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Expected courier rates (courier rates for Colombo 1-15, suburbs, outstation, regional) *
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Cash on delivery coverage *
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