Domestic Customer Registration

Domestic Form

Customer name *

Address *

Postcode *

Phone number *

Email Address *

Number of Black Bins (General Waste) at premises? *

What day are your bins emptied? *

Clean Cycle for Black Bins (General Waste)? *

Number of Blue Bins (Mixed Recycling) at premises? *

Clean Cycle for Blue Bins (Mixed Recycling)? *

Number of Brown Bins (Food & Garden Waste) at premises? *

Clean Cycle for Brown Bins (Food & Garden Waste)? *

Comments?