California Waste Services

Kindly complete and submit this form during normal business hours (7AM to 4PM, M-F) and a CWS customer service representative will promptly provide you with a free quote for service. After-hours and weekend inquiries will receive a reply as quickly as possible by the next regular business day. Thank you for providing CWS the opportunity to quote our service!

Please fill in a valid value for all required fields

Contact Name   First Name Last Name

Contact Company

Phone

E-mail

Service Address   City State Zip Code

Preferred Contact Method   By Phone   By E-mail   Either

Type of Material to be Discarded Check all that apply:   Construction & Demolition Debris (drywall, wood, insulation, etc.) Inert Materials (dirt, concrete, asphalt, brick, gravel, ceramic tile, etc.) Household Trash (garage clean-up, furniture, etc.) Landscaping Material (trees, shrubs, plants, sod, etc.) Other: Other Value

Container Size   1 Yard   3 Yard   10 Yard   40 Yard

Number of Containers Needed   Select a Quantity: Don't Know 1 2 3 4 5 More Than 5

Container Placement Location   Public Street   Private Property

Date Requested   Month   Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day   01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year   2010 2011