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Central Iowa Trash & Disposal Services

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Wiegert Disposal Inc. P.O. Box 344 Martensdale IA 50160 - (641) 764-2389

This form can be used for all service requests , select subject and go.

"*" indicates required fields

Subject*

Garbarge Pickup

Missed Garbage Pick-Up

Guys Made Mess

Thank the Guys Please

Billing

E-Billing Sign-Up

Discuss Billing

Update E-Billing Address

Cancel Account

Name

First Last

Email

Phone

Address

Street Address Address Line 2 City State ZIP Code

Portable Toilet Placement / Location

Handicapped Portable Toilet Request

Yes I would Like to Request A Handicapped Unit Please

Residential Dumpster / Placement Location

Commercial Dumpster / Placement Location

Roll-Off Placement Location

Residential Dumpster Size

2 yrd

4 yrd

6 yrd

Commercial Dumpster Size

2 yrd

4 yrd

6 yrd

Roll-Off Size

10yrd

20yrd

30yrd

40yrd

Residential Dumpster Estimated Delivery Date

Commercial Dumpster Estimated Delivery Date

Roll-Off Estimated Delivery Date

Portable Toilet Estimated Delivery Date

Residential Dumpster Estimated Completion Date

Comercial Dumpster Estimated Completion Date

Roll-Off Estimated Completion Date

Portable Toilet Estimated Completion Date

Septic Tank Location

I know where my septic tank is located I have a clue where my septic tank is located

I have a clue where my septic tank is located

I have no clue where the septic tank is located

Comments / Questions

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Wiegert Disposal Inc.
P.O. Box 344
Martensdale IA 50160
(641) 764-2389
https://iowatrash.com

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