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* Indicates required question

Name *

Your answer

Addresss *

Your answer

Suburb *

Your answer

Phone Number *

Your answer

Preferred method of contact

Mobile

Email

Clear selection

Email *

Your answer

What date is your next recycling bin collection date? *

MM

/

DD

/

YYYY

What time of day are your bins typically emptied? Please choose one
*

Choose

Early morning

Late morning

Early afternoon

Late afternoon

Select your preferred cleaning option:
*

Residential

Commercial

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