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Front Load

Front Load Request

Field name	Field
Front Load
Size	2 yard 4 yard 6 yard 8 yard
Pick ups per week	1 2 3 4 5 6 7 every other week other
What kind of material will be placed in bin?	IC&I (household waste)  OCC (cardboard)
Bin address	Address, line 1  Address, line 2    City/State/Zip
Customer Information
Business name
Name
Address	Address, line 1  Address, line 2    City/State/Zip
Phone	(Area code) Exchange - Number ext.
Cell Phone	(Area code) Exchange - Number ext.
E-mail address

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