(310) 883-8879 info@binwashla.com

Order Form

Please Note

  • We schedule the cleaning the day after trash is picked up.
  • All bin needs to remain empty prior to our arrival.

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  • FULL NAME :
  • PHONE NUMBER :
  • EMAIL ADDRESS :
  • ADDRESS :
  • CITY :
  • STATE :
  • ZIP :
  • TRASH PICKUP DAY :
  • PAYMENT METHOD :
  • NUMBER OF BINS :
  • PLEASE SPECIFY THE COLOR OF EACH BIN TO CLEANED :
  • Robert Drowney
  • 033-1234-5678
  • info@demo.com
  • 34 p/3 New York
  • New York
  • Alabama
  • 345126
  • Monday
  • Credit Card
  • 16
  • Red
  • FULL NAME :
  • Robert Drowney
  • PHONE NUMBER :
  • 033-1234-5678
  • EMAIL ADDRESS :
  • info@demo.com
  • ADDRESS :
  • 34 p/3 New York
  • CITY :
  • New York
  • STATE :
  • Alabama
  • ZIP :
  • 345126
  • TRASH PICKUP DAY :
  • Monday
  • PAYMENT METHOD :
  • Credit Card
  • NUMBER OF BINS :
  • 16
  • PLEASE SPECIFY THE COLOR OF EACH BIN TO CLEANED :
  • Red

Total Price : $220

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