Request Service

Destruction Bin Pickup and Delivery Request

Instructions: Use this form to send an e-mail request for a collection/delivery by Document Destruction Service.

Customer Details

Local Branch:
Client Name: (required)
Building:
Client Number/Code (if known):
Floor:
Room Number:
Street Address: (required)
Suburb: (required)
City: (required)
Contact First Name:
Contact Last Name:
STD & Phone number: (required)
Billing Reference / Order Number / Cost Centre:
Email: (required)

Request Details

Bags: Collection: Delivery:
Privacy Cabinets: Number of cabinets to empty:
140 Litre Bins Collection: Delivery:
240 Litre Bins Collection: Delivery:
Recycle Bins: Collection: Delivery:
Other: Please list details:

Send Request

Collection Date: (dd/mm/yy)
Collection Time: (hh:mm)
Special Instructions: