Order Form — United Waste Haulers of TN, LLC.

United Waste Haulers is an independent trash company
located in Mount Pleasant, TN. If you have any questions
or need to contact dispatch, please call 931-987-3000 EXT. 2.

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Name

First Name

Last Name

Billing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Size

If you would like a compactor please call 931.980.3000

Date

Date of when item needs to be placed

MM

DD

YYYY

Service Address

If same as above, write "same"

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Special/Extra Instructions