Skip Hire Order Form
Please complete the form below.
Title:
*
Mr
Mrs
Miss
Ms
First Name:
*
Surname:
*
Address 1:
*
Address 2:
Town:
*
Postcode:
*
Telephone:
*
Email Address:
*
Delivery Address 1:
*
Delivery Address 2:
Delivery Town:
*
Delivery Postcode:
*
What waste are you disposing of:
Garden Waste
Soil
Furniture
Other (please specify)
Other waste:
*
What skip size do you think you require?:
*
Mini Skip
4cy Skip
6cy Skip
Other (please specify)
Don't Know
Other Skip size:
*
Will the skip be sited on or off the road?:
*
Off road
On road
What date do you require the skip to be delivered?:
*
What date do you require the skip to be collected?:
*
Method of payment:
*
Cash to driver
Cheque to driver
Credit/Debit card
(We do not accept American Express or Electron cards)
Do you require a VAT receipt?:
*
Yes
No
How would you like to be contacted for a quotation?:
*
Email
Telephone
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