Customer enquiry form (staff only)

Customer Enquiry (Staff only)

"*" indicates required fields

Name*

First Last

Bin drop off/pickup address*

Street Address City State Postcode Country

Phone*

Bin size*

Bin type*

Do you have additional items?*

Yes

Tyres: without rims

Tyres: with rims

Mattresses: inner spring, ensemble base

White goods: fridges, dryers, washing machines

Date bin required*

Delivery instructions*

Payment type*

Quoted price

Travel charge