Join Us

If you live in the Auckland or Waitakere region and wish to join our Garden Bag or Bin services, please fill out the form below and we will contact you to arrange the set up of your account and the delivery of your bag or bin.
(The entries marked with a * are required to be filled in order to send the form).

Your Name*	Please include your name here...
Street Address*	Please include your address here...
Suburb*	Please include your suburb here...
Contact Phone Numbers*	Home: Mobile: Work: Please include at least one contact phone number...
Email Address*	please insert a valid email address...please insert a valid email address...
Please choose the service you require from the list below...*
	Garden Bag - 4 weekly - (we'll supply the bag & frame) Garden Bag - 8 weekly - (we'll supply the bag & frame) Garden Bin - Kerbside Pickup - 4 weekly Garden Bin - Kerbside Pickup - 8 weekly Garden Bin - Full Service - 4 weekly Garden Bin - Full Service - 8 weekly Please choose a service from the list above..!!
Do you need a bin supplied?	I have a bin already Please supply a bin
*I have read and agreed to the Terms and Conditions found here You must agree to our terms and conditions as set out on our website here
How did you hear about us?
Any other comments
	Send form to Clippa Garden Bags and Bins Ltd