Contact/Order Form

Name

First

Last

Email

Street Address

Suburb

Phone

Number of Bins123456Other

Which bins would you like cleaned?

• General garbage (red lid)
• Recycling (yellow lid)
• Garden waste (green lid)
• Garden waste using FOGO system (Food scraps go in garden bin)

Day emptiedMondayTuesdayWednesdayThursdayFriday

How often would you like your bins cleaned?Once onlyWeeklyFortnightly4 weeklyOther

Payment MethodCashBank TransferPayPalVisa/MasterCard/AmericanExpressApple Pay, Android Pay, Samsung Pay

Comments/Questions

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