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* 2. Please enter your contact details

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* 3. Is the waste located at this address?

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* 4. Please enter where the waste will be removed from (if not at the address above)

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* 5. I confirm that the waste is located within 20 km of Benedict Recycling Mayfield West (1a McIntosh Rd, Mayfield West):

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* 6. Why do you need help to clean up? (50 words or less)

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* 7. Please upload a photo of all the waste you want cleaned up

GIF, JPEG, JPG, PNG file types only.
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* 8. Upload second photo (optional)

PDF, JPEG, JPG, PNG, GIF file types only.
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* 9. Declaration of Eligibility
I hereby declare that the following statements are true:

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* 10. Terms and conditions

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