Booking Form Booking Form Select your pickup postcode area * Start typing your postcode area, e.g. DE11 DE11 — Swadlincote — £10 collection charge DE12 — Overseal — £15 collection charge DE13 — Burton — £20 collection charge Your collection charge is based on the postcode area where the waste will be collected from. Collection charge £ Full pickup postcode * This must match the postcode area selected above. If the wrong area is selected, the booking may be repriced or cancelled. Name * Email * Phone Full Pickup Address Preffered Pickup Date Preferred Pickup Time 07:0007:3008:0008:3009:0009:3010:0010:3011:0011:3012:0012:3013:0013:3014:0014:3015:0015:3016:0016:3017:0017:3018:00 Upload Photos Drop a file here or click to upload Choose File Maximum file size: 134.22MB Select Items for Collection Choose the items you need collected and enter the quantity for each item. 2-Seater Sofa 2-Seater Sofa: £ 40.00 Quantity 3-Seater Sofa 3-Seater Sofa: £ 50.00 Quantity Item Total Final booking total £ Payment Payment Payment Payment Month 123456789101112 Payment Year 20262027202820292030203120322033203420352036 Payment Submit If you are human, leave this field blank.