Personal Details
*Name:
Address:
*Postcode:
*Telephone:
Fax:
Email:
Fill in details of your waste below
Waste Catagory:
Hazardous
Non Hazardous
Both
Waste Type:
Non Hazardous
Hazardous
Please Choose..
General Mixed
Paper
Cardboard
Wood
Metal
Confidential
Soil / Brick
Green Waste
Plastic
Food
Glass
Demolition
Tyres
Please Choose..
Aerosols
Absorbent Granules / Oily Rags
WEE Electrical Waste
Oils
Cesspit
Interceptor / Drains
Liquid Bulk Tanker
Cooking Oil
Asbestos
Clinical
Cosmetics
Garage Waste Services
Paints / Inks
Other (Please Specify Below)
Other
Container:
Type
Size
Please Choose..
Euro Container
Open Skip
Enclosed Skip
FEL
REL
Roll on Off
Drums
IBC's
Pallet
Tube Box
Please Choose..
25 Litre
205 Litre
360 Litre
240 Litre
660 Litre
1100 Litre
2 cu yd
4 cu yd
6 cu yd
8 cu yd
10 cu yd
12 cu yd
14 cu yd
15 cu yd
20 cu yd
30 cu yd
35 cu yd
40 cu yd
Tube Box
Frequency of Collection:
Please Choose..
Daily
Weekly
Fortnightly
Monthly
Ad hoc
Other
Your current annual duty
of care charges: *Optional
Your current service
price: *Optional
