Request Services - Allied Waste

Formerly Paradise Waste Services




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Request New Commercial Service

To request additional information about our services, please fully complete the form below for the service that you are interested in. Please indicate P.O. Number (if applicable) and delivery instructions in the Special Instructions section. If you are not sure which service would be applicable to your need, simply fill out the General Information Request and include a brief description of the material of which you will be disposing. Upon receipt of your information, a representative will contact you within one business day.

New Residential Service | New Industrial Service

Commercial/Industrial Services

Please complete the following information:

Billing Address:

Customer Name

Attn.

Address

Address Line 2

City/State/Zip

Phone

FAX

E-mail

Preferred Method of Contact
Phone E-Mail

Same address as Billing

Service Address:

Site Name

Requestor

Title

Address

Address Line 2

City/State/Zip

Phone

FAX

Permanent Front Load Specifications:

• Businesses require a credit approval before services can begin
• Delivery = $50.00

Select the Size of Container:

2 Yard (40 1.4 x 36 x 72)		How Many:
3 Yard (48 1/2 x 42 x 72)		How Many:
4 Yard (48 1/2 x 54 x 72)		How Many:
6 Yard (60 x 66 x 72)		How Many:
8 Yard (80 x 66 x 72)		How Many:

Date the Containers Are Needed?
( format - mm/dd/yyyy )

Lockbar ($10.00/m)	Yes No		Gates	Yes No
Wheels ($20.00/m)	Yes No		Locked	Yes No

Special Instructions:

I agree with terms and conditions

4811 W Lower Buckeye Rd, Phoenix, Arizona - (602) 237-2078