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Please note: The fields marked * must be completed.
 

Details of Service request

 
 
 
 
 
 
 

Leaf Service Cost

 
£6.40
 

Garden Waste Service Cost

£51.50
£12.90
 
£
 
Are you on a Pullout?
Are you on a Pullout?
 

Your Details

Please complete your contact details in case we need further information to follow up this report.
 
 
 
 
 
 
 
 

Please enter a valid email address, e.g. contactus@epsom-ewell.gov.uk

 
 
 
 

Data Protection

Any information you provide will be used by us for the purpose of dealing with this report and will not be disclosed to the public. This information may be provided to organisation working on our behalf to rectify the problem.
 

Declaration

I confirm that to the best of my knowledge and belief the information I have given is true.
 
 
 
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