Application for Assisted Collection
Name
*
Postal Address
*
Post Code
*
Daytime Telephone
Email Address
I wish to:
Request to be placed on the Refuse assisted collections list
Request to be placed on the Recycling assited collections list
Request to be placed on Both lists
Find out about the assisted collection scheme
Report a problem with assisted collection
Other
If 'Other' please specify
*
Comments
How would you like us to get back to you
E-Mail
Post
Telephone
Thank you for your help
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