Payment can be made via paypal, debit\credit card or ApplePay Full Name *: Email *: Phone Number *: If you require skip hire for longer than a 2 week period please call 01782 551222 Skips required for more than 2 weeks are available to book via phone or email. Delivery Date:Collection Date: Type of Waste *:GeneralBrick & Soil Skip *:2yd3yd4yd8yd16yd8yd enclosed12yd enclosed16yd enclosed Permits *:NoneStoke on Trent Council (£70 – 3 Working Days Notice)Staffordshire Council (£70 – 5 Working Days Notice)Cheshire Council (£110 – 5 Working Days Notice)Shropshire Council (£160 - 10 Working Days Notice) House Number/Name *: Address Line 1 *: Address Line 2 *: Postcode *: Discount Code: Comments: Sign up to our newsletter mailing list. Total: Pay with Credit/Debit Card or ApplePay Pay with Paypal Pay with SagePay