KyoCollect Pickup Form

Dispose of Less. Recycle More.

Simply complete the following details to arrange a pick up.

Please allow upto 5 business days for all pickups.

Please Note: pickups in the regional areas (50Km outside of Metro areas) will incur a $20 collection fee.

* indicates mandatory field(s).

Title

First Name *

Surname *

Company *

Pickup Address (No PO Box) *

Suburb *

State or Territory *

Postcode *

Email *

Telephone *

Facsimile

No. of bags for pickup *

Additional Information

Privacy Information *

Our Privacy Policy applies to any personal information supplied by you via this form. Your personal information will not be disclosed to any third party except to our authorised Transport Campany engaged by us in order to enable them to provide the required services. For a copy of our Privacy Policy, please visit our website at www.kyoceramita.com.au