New Customer – Staff Only

Staff Use Only

Sign up a new customer with these buttons

Please fill in and Submit the below form to complete CASH ONLY customer signup

Name *

First

Last

Address Line 1 *

Please Enter the first line of your address

Address Line 2 (Optional)

Enter the second line of your address if you have one

Town/City *

Please enter your Village, Town or City

Postal Code *

Please enter your full postal code

Contact Telephone Number *

Please enter the best phone number to contact you on

Email Address

Please enter your email address

Please tick the bin or bins you require cleaning *

• General Waste
• Recycling
• Garden Waste

Please tick the bins you require us to clean

Additional Notes

Please use this space to tell us of any special access instructions or other important information

Submit

To collect money owed click the button below then type in the amount owed

For customers that usually pay £5 for one off cleans use coupon code ONEOFF23