Rubbish Removal Enquiry Form
Please fill out all fields marked with an asterisk (*) and we will contact you shortly.
1. Type of Junk
Builders' rubble, soil, bricks
Appliances
Wood, lumber
Metal
Garden refuse, leaves, clippings
Bric-a-brac, clothes, light junk
Furniture & other bulky items
Paper, magazines, cardboard
Other:
2. Amount of Junk
Volume estimate (if not rubble, soil)
Weight estimate (for builders' waste only)
Less than ¼ truck (< ½ skip)
Less than ½ tonne (<15 rubble bags)
¼ - ½ truck (½ - full skip)
½ - 1 tonne (15-35 rubble bags)
½ - full truck (1 - 2 skiploads)
Other: Tonnes (insert number)
Other: Truckloads (insert number)
3. Location
Driveway / front of property
Upstairs in property
Garage
Rear of property (access through hallway)
Downstairs in property
Rear of property (direct access)
Other:
4. Time for 2 People to Clear
Less than 20 minutes
1 - 1½ hours
20 - 40 minutes
1½ - 2 hours
40 - 60 minutes
2 hours+
5. Collection Time and Date
Time:
8am-10am
9am-11am
10am-12pm
11am-1pm
12pm-2pm
1pm-3pm
2pm-4pm
3pm-5pm
Date:
6. Contact Details
Please fill out all fields marked with an asterisk (*) and we will contact you shortly
(Note that if you contact us between 9.00 - 17.00 Mon-Fri, we will call or email you as soon as we receive your request. If your enquiry is received outside working hours, we will contact you on the next available business day).
Firstname
Surname*
Postcode*
Daytime Telephone*
Email Address*
Confirm Email Address*
Where did you first hear about
ANY JUNK?*
Saw ANY JUNK? truck
Given card by ANY JUNK? employee
Referral from friend / colleague
Yellow Pages / Thomson Local Directories
Read about in press, magazines
Web search
Existing customer
Other – please specify
If Other:
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