Company Name

First Name *

Last Name *

Phone *

Contact Email *

Home or Business Address *

Address to Deliver Dumpster Below *

City *

State *

Postal code *

Date: Dumpster Preferred Delivery Date *

Dumpster Size in Yards (Put Number Needed Each). *

20 Yards
30 Yards
40 Yards

Rental Duration Over 7 Days (1 = One Extra Day add $10 per Day)

Project Type *

Debris Type: *

Items that are not allowed in a dumpster:

Liquids including but not limited to- oil, antifreeze, wet paint cans, tires, batteries, electronic devices, hazardous materials, pressurized cylinders, propane tanks.

*If the dumpster contains any above products an additional fee will be applied accordingly.

Dumpster Loading: The dumpster is to be loaded no higher than level with the sides. (If dumpster can not be hauled due to overloading trip and time extension will be applied.)

Special Dumpster Instructions

Payment Method *

I agree to the terms and conditions:

By checking this box, I authorize Farmdale Dumpster and Demolition LLC to communicate with me via calls, text messages, and online payment invoices for the purposes of processing payments, following up, and providing relevant information regarding my dumpster rental. I understand that my contact information will be used exclusively for these purposes and that I may opt-out of these communications at any time.