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Refuse - Civic Collections Form
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Refuse - Civic Collections Form
Please refer to the '
Refuse - Special Collections
' page for a list of items which we do not collect.
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Customer Details
Salutation:
Mr
Mrs
Miss
Ms
Dr
Surname:
Forename:
Address 1:
Address 2:
Address 3:
Town:
County:
Postcode:
Contact Tel No.:
Contact E-mail:
Refuse Details - You are allowed up to 3 large items per collection
Service Category:
Item One Name:
Select Item 1-->
Three Piece Suite
Wardrobe
Bed
Table
Chairs
Armchair
Sofa
Sideboard
Carpet
Mattress
Other Item
If 'Other Item' is bags, please specify contents:
Quantity:
Item Two Name:
Select Item 2 -->
Wardrobe
Bed
Table
Chairs
Armchair
Sofa
Sideboard
Carpet
Mattress
Other Item
If 'Other Item' is bags, please specify contents:
Quantity:
Item Three Name:
Select Item 3 -->
Wardrobe
Bed
Table
Chairs
Armchair
Sofa
Sideboard
Carpet
Mattress
Other Item
If 'Other Item' is bags, please specify contents:
Quantity:
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12/12/2006
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