Please fill in this form if you are arranging a pick-up from our Click & Collect location points with a third-party person or courier service.

Section 1: Customer Details

Section 2: Authorised 3rd Party Pick Up Details

Section 3: Authorisation

IMPORTANT: Customers are required to attach their drivers license or photo I.D for account identification. Please note that the account holder is the person registered to have purchased the item from Lifespan.

Person picking up the item on behalf of the account holder needs to provide Lifespan with a photo I.D for approval purposes.