Domestic Customer Booking Form

Wheel Winner Prize *

Customer Name *

Address Line 1 *

Address Line 2

City/Town *

Postcode *

Phone Number *

Email Address *

Number of General Waste bins at premises? *

On which day are your bins emptied? *

Cleaning cycle for General Waste bin(s)? *

Number of Mixed Recycling bins at premises? *

Cleaning cycle for Mixed Recycling bin(s)? *

Number of Food & Garden Waste bins at premises? *

Cleaning cycle for Food & Garden Waste bin(s)?

Comments

Where did you hear from us? *