Title *	Mr Mrs Miss Ms Dr
First Name *
Last Name *
Company Name
House Name/Number *
Post Code *

Street name *
Area name
Town/City *	Please select ArleseyAshwellAstwickBaldockBarkwayBarleyBendishBlackmore EndBreachwood Green/ The HeathBygraveCamptonCharltonCliftonClothallCockernhoeCodicoteDarleyhallGosmoreGraveleyGravenhurstGreat OffleyGreat WymondleyGreen End & Mill EndHalls GreenHenlowHenlow CampHextonHinxworthHitchinHolwellIcklefordKelshallKimptonKings WaldenKnebworthLangfordLangleyLetchworthLey GreenLilleyLittle AlmshoeLittle WymondleyLower StondonLuffenhallMangrove GreenMeppershallNewnhamNewsellsNortonNuthampsteadOakhillsOffleyOffley HooOld KnebworthPeters GreenPirtonPorters EndPottersheathPrestonRadwellRedhillReed/Reed EndRolls WoodRoystonRushdenSandonShaftenhoe EndSheffordShillingtonSouthern GreenSt IbbsSt IppollittsSt Pauls WaldenStanfordStotfoldSunny MeadTea GreenTitmore GreenTodds GreenWandon EndWarrens GreenWestonWhitwellWillian
	If your town is not available, please contact us on 01462 416565.
County *	Please select Bedfordshire Buckinghamshire Cambridgeshire Hertfordshire
Notes/Special Instructions Maximum 500 characters	Characters: 0

Home Telephone **
Mobile **
Work Telephone
E-mail *
How did you find us?	Other Google Bin Hanger Carpet Cleaning Side of road Stotford news The Villager Ashwell Parish Recommendation Referal Repeat Card / leaflet

** Please provide one or the other.

We can send you a text, free of charge, on the day that your wheelie bin is to be cleaned reminding you to leave it empty and available for cleaning. Would you like to receive this text?      Yes

I confirm that I have read and agree to the Terms & Conditions    Yes

* Please note, except for one off cleans this is a 6 month minimum contract.

Welcome Email & Deposit Receipt
Within the next 24 hours you will receive a welcome email & a receipt for your deposit. The deposit will equal your first 4 weeks with us. For example, if you have 2 bins cleaned every four weeks, we will take a deposit of £3.99 x 2 = £7.98, if you have 3 bins cleaned we will take a deposit of £11.97, etc... Please note, this pays for your final cleans, once you have given us 30 days notice.