Fields marked with * are required.
Full Name: *
House No. & Street Name: *
Post Code: *
Tel: *
Email Address: *
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Type of Waste : * Builders Rubble Garden Rufuse Furniture WEEE/IT Computers, Printers etc Wood and Lumber Appliances Metal Other - Please specify in Addtional Information
Property Type: * Flat House Office
Does this property have a lift? * Yes No
Location of Waste : * Basement Ground Floor 1st Floor 2nd Floor 3rd Floor or Higher Front Garden / Driveway Rear Garden Other - Please specify in Additional Information
Does this property have parking outside? * Yes No
Parking Type: * No Restrictions Pay & Park Off Street Parking Parking Permit Allocated Parking
Preferred Date: * 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 2012 2013 2014 2015
Preferred Time: * Morning: 8am - 11am Afternoon: 12pm - 5pm Evening: 6pm - 10pm
Notes: (Please provide any information we may require)
