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Home Delivery
EXPRESS
Independent Travel Courier
Application
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1
Personal Information
2
Travel Details
3
Courier Eligibility & Compliance
4
Airport Transportation
5
Payment Preference
6
Declarations & Consent
Personal Information
Full Legal Name (as on passport)
*
Date of Birth
*
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Phone Number (WhatsApp preferred)
*
Email Address
*
Current City & State
*
Next
Travel Details
Departure Airport
*
SELECT
Newark (EWR)
JFK
Other
Please Specify Departure Airport
*
Destination Airport
*
SELECT
Accra (Kotoka – ACC)
Airline
*
SELECT
United Airline
Delta Airline
KLM
British Airways
Other
Enter Airline
*
Departure Date
*
Ticket Confirmation number
*
Number of Checked Bags Included in Your Ticket
*
1
2
3
4
5
6
7
8
9
10
Are You Willing to Carry Pre-Sealed Checked Luggage on Behalf of Home Delivery Express?
*
Yes
No
Next
Courier Eligibility & Compliance
Do You Have a Valid Passport and Ticket to Ghana?
*
Yes
No
Are You Comfortable Checking In Luggage That Is Packed, Sealed, and Documented by Home Delivery Express?
*
Yes
No
Do You Agree NOT to Open or Modify Any Assigned Luggage?
*
Yes
No
Have You Ever Had Issues with Customs or Immigration When Traveling to Ghana?
*
Yes
No
If yes, please explain
*
Next
Airport Transportation
Do You Need Airport Pickup From Your Home?
*
Yes
No
Pickup Address
*
Preferred Pickup Time
*
Next
Payment Preference
Preferred Payment Method for Courier Stipend ($50 per bag)
*
Cash (before departure)
Zelle
CashApp
Ghana Mobile Money
Other
Specify Preferred Payment Method for Courier Stipend
*
Next
Declarations & Consent
Courier Declaration
*
I confirm that I am voluntarily participating as an independent travel courier for Home Delivery Express. I understand that all luggage assigned to me is packed, sealed, and documented by Home Delivery Express. I agree not to open, alter, or add any items to the luggage. I acknowledge that I am not an employee of Home Delivery Express.
Liability Acknowledgement
*
I acknowledge that Home Delivery Express limits its liability and that I am responsible for complying with airline, TSA, and immigration rules during my travel.
Consent to Verification
*
I consent to Home Delivery Express verifying my travel details for coordination purposes.
Digital Signature (Type Full Name)
*
Date
*
Submit
🚚
Next Shipment Date:
17th January 2026
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