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Dumpster Rental Form
Card Number
*
Name on Card
*
Card Expiration Date
*
Card Security Code
*
Email
*
Standard Dumpster Rental
13 Cubic Yard Dumpster
$449
20 Cubic Yard Dumpster
$449
30 Cubic Yard Dumpster
$449
40 Cubic Yard Dumpster
$449
Dumpster delivery requires a 48-hour notice
*
Month
Month
Day
Year
Time
:
Hours
Minutes
AM
Dumpster pick up can be up to 3 weeks from delivery date
*
Month
Month
Day
Year
Time
:
Hours
Minutes
AM
Terms
*
I agree not to dispose of hazardous waste, paint, dirt, rocks or concrete.
I agree to be charged after the dumpster is weighed at a prorated price of $129 per ton plus tax.
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