Get in Touch With Red Box Refuse for Proper Waste Handling Name* First Last Company Email* Have you rented from Red Box Refuse in the past?* Yes No Phone Number*Billing Address Delivery Address (If requesting a box and if different from the billing address) Delivery Date (If requesting a box) MM slash DD slash YYYY Box Size (If requesting a box) 15 Cubic Yard 40 Cubic Yard 20’ Connex 90 Cubic Yard Estimated Pickup Date (If requesting a box) MM slash DD slash YYYY Specific Onsite instructions for box delivery Type of Material to be hauled?* General Garbage Renovation or Remodel Debris New Construction Debris Wood, Dirt, Grass, or Concrete Regulated Materials/Hazardous Waste "I hereby certify, to the best of my abilities, that no hazardous waste will be disposed of within the box and I understand that there is a required credit card deposit prior to rental."* I agree I do NOT agree Message
