BURNS WASTE NEW CLIENT FORM Thank you for choosing Burns Waste as your Waste Management provider!To ensure a smooth registration, please complete all required information in the provided fields. We’re looking forward to working with you! Name * First Name Last Name Contractor (if applicable) Phone * (###) ### #### Billing Email * All invoices will be sent to the provided email address Billing Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Service Address (address that your dumpster will be dropped) * Address 1 Address 2 City State/Province Zip/Postal Code Country Preferred Drop Off Date Date * MM DD YYYY Thank you!
