Discount Waste, Inc.


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*First & Last Name:
*Contact Phone Number: (include area code)
Email Address:
*Company Name:
Location Address
Address:
City:
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ZIP code:
*Service Requested:
Other (Please Explain)
*Size of container(s) requested:
*Frequency of service requested:
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*Approximate date you’d like service to begin:
Are you currently receiving service from another vendor: If yes please let us know who is providing the service and if the request is for permanent service when does your current service contract expire.
Are you considering a new solid waste and recycling company due to poor performance, prices, or any other reason? Please explain.
General Comments/Questions:

Contact Information
phone: 1-877-DWS-HAUL (1-877-397-4285)