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New Bin Repair Request

First Name

Surname

Request Summery

Can your wheelie bin be accessed from the street?

Yes No

Will you leave your bin in the street for us to access?

Yes No

Address where bin is located:

Phone:

Email

What is your collection type?

Residential Commercial

How many bins need repairing?

If the damaged bin is a Garbage bin, what is the size of the bin?

130L 240L Other

If the damaged bin is a Recycle bin or Organics bin, what is the size of the bin?

130L 240L Other

What has been damaged and needs repairing?

Body Base Wheel/s Axle Lid Pins

When is your next collection day if known?

Mon Tue Wed Thu Fri

If Possible Attached Photos of the Bin to be repaired (Attach here. Max of 3 photos)

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