AUTHORITY TO LEAVE | Coolway RefrigerationCoolway Refrigeration

Suburb:	State:	Postcode:
Please give instructions for drivers :
I/we hereby authorise Coolway Refrigerated Couriers to leave goods (please give instructions for driver)

I understand and agree that this authority to leave, gives Coolway Refrigerated Couriers the permission to leave Item(s) addressed to myself, or a representative of myself, unattended and without obtaining a signature confirming delivery at the above location. I understand and agree that by signing this authority to leave, Coolway Refrigerated Couriers, and all representatives of Coolway Refrigerated Couriers, is/are released of all responsibility and liability for the Item(s) and its contents and that this responsibility and liability transfers to myself/my company of which I represent.