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Order Form
BiffsInc.com
BiffsInc.com
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On-Line Roll-off Order Form
(For Established Accounts Only)
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Company Name:
Today's Date:
Person Requesting Order:
Job Name:
Job Address:
Box Size:
Please Select a Box Size:
------------------
10 cubic yards
20 cubic yards
30 cubic yards
Phone Number:
Deliveries:
Requested Delivery Date:
Requested Time Frame of Delivery:
Between:
&
Type of Job:
Placement:
Job Contact Name:
Job Contact Number:
Switch or Pull:
Switch – replace with same size box.
Pull – do not replace, wait for further orders.
Requested Service Date:
Requested Time Frame of Service:
Between:
&
Type of Materials:
Any Other Instructions: