Please provide the following contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL

What type of trash container do you have?

OPEN TOP
COMPACTOR

What is the size of the trash container your have?

8 YARD
10 YARD
20 YARD
40 YARD

How many times is your trash container picked up each week?

1
2
3
4
5
MORE THAN 5

Do you have a loading dock?

YES
NO

Do you have a forklift available to load bales?

YES
NO

Do you have room to store material such as bales inside or outside?

YES
NO

How many employees are in your office?

60 OR LESS
61-100
101-200
200 OR MORE

Do you have dock space available or means to load from the ground?

YES
NO