If you would like to make a booking and make a selection from our range of services, please complete the following form:
Note that fields marked * are mandatory.

Contact Name: *
Company / Organisation:
Address 1: *
Address 2:
Town: *
Postcode: *
Telephone: *
Fax:
E-mail: *
Are you an existing Lombard Recycling Customer?  Yes  No
If yes, what is your account number?
 
Do you require a regular collection service?  Yes  No
How often is the material to be collected?
 
What type of confidential waste do you currently generate?
Paper  Yes  No
Magnetic Media  Yes  No
Uniforms  Yes  No
IT equipment  Yes  No
Other
 
Do you require any of the following storage units?
Sacks & Ties  Yes  No     Qty: 
Confidential containers  Yes  No     Qty: 
External containers  Yes  No     Qty: 
Other
 
Please add any further relevant information
 
 
 
 
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