Refuse - Civic Collections Form

Please refer to the 'Refuse - Special Collections' page for a list of items which we do not collect.

 

Customer Details
Salutation:
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:
If 'Other Item' is bags, please specify contents:
Quantity:
Is the Item Reuseable?
Item Two Name:
If 'Other Item' is bags, please specify contents:
Quantity:
Is the Item Reuseable?
Item Three Name:
If 'Other Item' is bags, please specify contents:
Quantity:
Is the Item Reuseable?
   
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