Clinical Waste Collection
Please complete this form to request a quotation for clinical waste collections.
All fields marked * are required.
Company Name
*
Contact Name
*
Address
*
Postcode
*
Telephone Number
*
Fax Number
Email
*
Preferred Method of Contact
*
Please Select ...
Post
Telephone
Fax
Email
Will a Clinical Sharps Collection be required?
Will a Clinical Sharps Collection be required?
Yes
No
Will a Clinical Waste Sack Collection be required?
Will a Clinical Waste Sack Collection be required?
Yes
No
What frequency of collection do you require?
What frequency of collection do you require?
Weekly
Monthly
Fortnightly
Other
Please specify
Invoice Address (if different from above)
Collection Address (if different from above)
Additional information you wish to provide
eForms
by AchieveForms
Bedford Borough Council
Borough Hall
Cauldwell Street
Bedford
MK42 9AP
Tel. 01234 267422
